单侧双门内镜脊柱手术:用最少的侵入性方法管理复杂和修订病例
1Surgery, Ain Al Khaleej Hospital, Abu Dhabi, ARE.
Cureus
|January 23, 2026
概括
单侧双门内镜 (UBE) 脊柱手术有效治疗复杂和修复的脊柱病例. 这种微创手术在具有挑战性的病理方面表现出色,改善了患者的疼痛和功能.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 最少侵入性的脊柱手术
背景情况:
- 修复脊柱手术是复杂的,因为痕组织和改变解剖学从以前的干预.
- 单侧双门内镜 (UBE) 手术为各种脊柱疾病提供了一种多功能,最少侵入性的方法.
- 正在探索UBE手术的潜力,以应对具有挑战性的修复和复杂的脊柱病理.
研究的目的:
- 评估单侧双门内镜 (UBE) 脊柱手术的安全性和有效性.
- 评估复杂和修复脊柱病例中的UBE手术结果.
- 为了证明UBE在管理具有挑战性的脊柱病理方面的多功能性.
主要方法:
- 追溯案例系列审查了三个复杂/修订脊柱手术病例,这些病例使用UBE进行管理.
- 纳入标准:需要修改或复杂管理的宫,腰椎和胸椎病理.
- 结果评估包括视觉模拟尺度 (VAS) 疼痛评分,神经功能和患者满意度.
主要成果:
- 案例1 (椎检查):在UBE减压后的2年随访后,完全缓解根部疼痛 (VAS 8/10至0/10).
- 案例2 (腰部修订):在6个月的随访中,尾部马体综合征症状明显改善,包括左脚功率 (0/5至4/5) 和减少VAS (9/10至1/10) 在内.
- 案例3 (胸椎病理):在患有并发症的老年患者中显著缓解疼痛 (VAS 0-1/10),并改善了运动能力,该患者接受了UBE带减压,囊整形和固定.
结论:
- 单侧双门内镜 (UBE) 脊柱手术是复杂和修复脊柱病例的安全和有效选择.
- UBE手术在管理多样化和具有挑战性的脊柱病理方面表现出多样性,包括在患有并发症的患者中.
- 在所有审查的病例中观察到出色的临床结果,包括减少疼痛和功能改善.
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