Shao Jiashen, Zhang Zhiwu, Fan Zihan, Meng Hai, Fei Qi
Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China, China.
Wideochir Inne Tech Maloinwazyjne. 2025 Jan 3;20(1):93-98. doi: 10.20452/wiitm.2025.17940. eCollection 2025 Apr 9.
Unilateral biportal endoscopy (UBE) is a minimally invasive technique that has gradually gained popularity in the field of spine surgery.
The aim of this study was to identify independent risk factors associated with the occurrence of perioperative complications following UBE surgery through a comprehensive retrospective analysis.
Consecutive patients who underwent UBE at the Department of Orthopedics of Beijing Friendship Hospital between June 2021 and July 2024 were retrospectively analyzed. Data on demographic characteristics, comorbidities, surgery‑related parameters, and perioperative complications were extracted from medical records, and patients who did and did not develop complications were compared. Potential risk factors for perioperative complications were evaluated using univariable and multivariable logistic regression analyses.
In a cohort of 322 patients, perioperative complications were observed in 20 individuals, yielding an overall incidence rate of 6.8%. Occurrence of perioperative complications was associated with higher body mass index (BMI >28 kg/m2; P <0.001), diabetes mellitus (P <0.001), depression (P <0.001), preoperative analgesia (P = 0.03), American Society of Anesthesiologists classifiation (P <0.001), and longer operative time (>180 minutes; P <0.001). In the multivariable logistic regression analysis, surgery duration longer than 180 minutes (odds ratio [OR], 2.8; 95% CI, 1.5-5.4), depression (OR, 2.5; 95% CI, 1.3-4.7), and BMI greater than 28 kg/m2 (OR, 3.1; 95% CI, 1.7-5.9) were identified as independent risk factors for complications.
This study demonstrates that UBE surgery is an effective and safe minimally invasive technique for the management of lumbar degenerative diseases, with a relatively low complication rate of 6.8%. Longer operative time, preoperative depression, and a higher BMI were identified as independent risk factors for the occurrence of perioperative complications.
单侧双通道内镜技术（UBE）是一种微创技术，已在脊柱外科领域逐渐受到欢迎。
本研究旨在通过全面的回顾性分析，确定UBE手术后围手术期并发症发生的独立危险因素。
对2021年6月至2024年7月在北京友谊医院骨科接受UBE手术的连续患者进行回顾性分析。从病历中提取人口统计学特征、合并症、手术相关参数和围手术期并发症的数据，并对发生和未发生并发症的患者进行比较。使用单变量和多变量逻辑回归分析评估围手术期并发症的潜在危险因素。
在322例患者队列中，20例观察到围手术期并发症，总发生率为6.8%。围手术期并发症的发生与较高的体重指数（BMI>28kg/m²；P<0.001）、糖尿病（P<0.001）、抑郁症（P<0.001）、术前镇痛（P=0.03）、美国麻醉医师协会分级（P<0.001）以及较长的手术时间（>180分钟；P<0.001）有关。在多变量逻辑回归分析中，手术时间超过180分钟（比值比[OR]，2.8；95%置信区间，1.5-5.4）、抑郁症（OR，2.5；95%置信区间，1.3-4.7）和BMI大于28kg/m²（OR，3.1；95%置信区间，1.7-5.9）被确定为并发症的独立危险因素。
本研究表明，UBE手术是治疗腰椎退行性疾病的一种有效且安全的微创技术，并发症发生率相对较低，为6.8%。较长的手术时间、术前抑郁症和较高的BMI被确定为围手术期并发症发生的独立危险因素。
