摘要
单侧双通道脊柱内镜手术(unilateral biportal endoscopic spinal surgery,UBE)采用一个内镜通道和一个器械操作通道两个通道.双通道操作器械不受尺寸的限制,在各种脊柱微创手术中非常有效.UBE手术的并发症如硬脊膜撕裂、硬膜外血肿、隐性失血、术后头痛、神经根损伤和减压不足等不容忽视,若不及时处理,则会影响UBE手术的治疗效果.
Abstract
The unilateral biportal endoscopic spinal surgery(UBE)technique is an emerging endoscopic technique,mainly used as treatment for lumbar degenerative disease.The procedure is characterized by two working channels,one being endoscopic,the second to be employed as an operating channel.Through the use of such dual-channel-technology,it allows the operating instruments to be unrestricted in size.Therefore,it is a highly efficient surgical technique for minimally invasive spinal surgery(MISS).However,the clinical complications of UBE technology must be taken into consideration.Possible side effects include dural injury,epidural hematoma,occult blood loss,postoperative headache,nerve root injury and insufficient decompression.This article reviews the causes,prevention and management of UBE-related complications.
基金项目
湖北省医学青年拔尖人才项目(鄂卫通201948号)
湖北省卫健委面上科研项目(WJ2023M091)
武汉市中青年医学骨干人才培养工程项目(武卫生计生201751号)
NETL
NSTL
万方数据