[1]张鑫,李峰,徐阳平,等.单侧双通道脊柱内镜技术治疗单节段化脓性脊柱炎15例[J].中国中医骨伤科杂志,2026,34(04):97-101.[doi:10.20085/j.cnki.issn1005-0205.260416]
　ZHANG Xin,LI Feng,XU Yangping,et al.Early Clinical Observation of the Treatment of the 15 Patients with Single-Level Suppurative Spondylitis by Using the Unilateral Biportal Endoscopy Technique[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(04):97-101.[doi:10.20085/j.cnki.issn1005-0205.260416]
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单侧双通道脊柱内镜技术治疗单节段化脓性脊柱炎15例()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年04期
页码:
97-101
栏目:
临床研究
出版日期:
2026-04-10

文章信息/Info

Title:
Early Clinical Observation of the Treatment of the 15 Patients with Single-Level Suppurative Spondylitis by Using the Unilateral Biportal Endoscopy Technique
文章编号:
1005-0205(2026)04-0097-05
作者:
张鑫1; 李峰1; 徐阳平1; 李琳1; 陈华1△
1湖北省中医院(武汉,430074)
Author(s):
ZHANG Xin1; LI Feng1; XU Yangping1; LI Lin1; CHEN Hua1△
1Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430074,China.
关键词:
单侧双通道脊柱内镜;  化脓性脊柱炎;  单节段;  微创;  临床疗效
Keywords:
unilateral biportal endoscopy;  suppurative spondylitis;  single-level;  minimally invasive surgery;  clinical efficacy
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.260416
文献标志码:
A
摘要:
目的:评价单侧双通道脊柱内镜(UBE)技术治疗单节段化脓性脊柱炎的早期疗效。方法:回顾性分析采用单侧双通道脊柱内镜技术治疗15例化脓性脊柱炎合并腰大肌脓肿患者的临床资料,采用脊柱功能日本骨科协会(JOA)评分评估术前及术后脊柱功能恢复情况,采用视觉模拟量表(VAS)评分评估疼痛缓解情况,通过比较术前及术后关键节点感染指标评估感染控制情况,采用神经功能 ASIA 分级评价患者神经功能恢复情况。结果:所有患者均顺利完成手术,并获得6～12个月的随访,术后无神经损伤、脑脊液漏、血肿、窦道形成等并发症,术后与术前相比,JOA评分持续升高,VAS评分持续下降,红细胞沉降率、C反应蛋白(CRP)、降钙素原(PCT)等指标都有明显好转,差异有统计学意义(P<0.05)。结论:采用单侧双通道脊柱内镜技术治疗单节段化脓性脊柱炎并发腰大肌脓肿有损伤小、安全有效的优势,是治疗该类疾病的一种新的选择。
Abstract:
Objective:To assess the clinical efficacy of 15 patients with single-level suppurative spondylitis treated using the unilateral biportal endoscopy(UBE)technique.Methods:Looking backwardat the data of 15 patients with single-level suppurative spondylitis treated with the unilateral biportal endoscopy technique before and after the operation.Using JOA scores to evaluate the spinal function and using VAS scores to evaluate the pain level before and after the operation.Comparing the infection index before and after operation,using ASIA to evaluate neurological recovery.Results:All the operations were successful,and there were no complications such as hematoma,nerve injury,infection,or cerebrospinal fluid leakage.The VAS scores and the ESR/CRP/PCT continued to decline(P<0.05),the JOA scores continued to increase.Conclusion:Using the technology of UBE has the advantages of less damage,greater safety and higher effectiveness in the treatment of single-level suppurative spondylitis,which serves as a new choice for surgical treatment of suppurative spondylitis.

参考文献/References:

[1] 张健,郭海龙,李龙,等.一期后路正中切口经肌间隙入路治疗腰椎感染性疾病[J].中华骨科杂志,2016,36(11):709-716.
[2] 黄吉军,王永祥,杨建东,等.单侧双通道脊柱内镜技术治疗脱垂型腰椎间盘突出症的早期疗效[J].中国修复重建外科杂志,2024,38(11):1367-1371.
[3] 胡宇坤,高书涛,盛伟斌,等.化脓性脊柱炎分型和诊疗的研究进展[J].脊柱外科杂志,2023,21(5):350-356.
[4] ZIMMERLI W.Vertebral osteomyelitis[J].New England Journal of Medicine,2010,362(11):1022-1029.
[5] CAMINO WILLHUBER G,GUIROY A,ZAMORANO J,et al.Independent reliability analysis of a new classification for pyogenic spondylodiscitis[J].Global Spine Journal,2021,11(5):669-673.
[6] BERBARI E F,KANJ S S,KOWALSKI T J,et al.2015 infectious diseases society of America(IDSA)clinical practice guidelines for the diagnosis and treatment of native vertebral osteomyelitis in adultsa[J].Clinical Infectious Diseases,2015,61(6):e26-e46.
[7] SEGRETO F A,BEYER G A,GRIECO P,et al.Vertebral osteomyelitis:a comparison of associated outcomes in early versus delayed surgical treatment[J].International Journal of Spine Surgery,2018,12(6):703-712.
[8] FROIIO C,BERNARDI D,LOVECE A,et al.Retroperitoneoscopic drainage of psoas abscess:a systematic review[J].Surgical Laparoscopy,Endoscopy & Percutaneous Techniques,2021,31(2):241-246.
[9] SHETTY A P,AIYER S N,KANNA R M,et al.Pyogenic lumbar spondylodiscitis treated with transforaminal lumbar interbody fusion:safety and outcomes[J].International Orthopaedics,2016,40(6):1163-1170.
[10] MAHADHIPTA H,AJIANTORO,SHIHAB R A,et al.A case report of percutaneous endoscopic debridement for treating lumbar tuberculous spondylitis with large psoas abscess[J].International Journal of Surgery Case Reports,2022,93:106850.
[11] YANG S C,FU T S,CHEN H S,et al.Minimally invasive endoscopic treatment for lumbar infectious spondylitis:a retrospective study in a tertiary referral center[J].BMC Musculoskeletal Disorders,2014,15(1):105.
[12] GRADOS F,LESCURE F X,SENNEVILLE E,et al.Suggestions for managing pyogenic(non-tuberculous)discitis in adults[J].Joint Bone Spine,2007,74(2):133-139.
(收稿日期:2025-06-26)

备注/Memo

备注/Memo:
△通信作者 E-mail:ch1222@126.com
更新日期/Last Update: 2026-04-15