Objective:

To review the application and research progress of unilateral biportal endoscopy (UBE) technique in the treatment of lumbar related diseases.

Methods:

The domestic and foreign literature on the application of UBE technique in the treatment of lumbar related diseases was extensively consulted, and the development history, clinical application, operation points and precautions, related complications and adverse reactions, advantages and disadvantages of the technique were reviewed.

Results:

As a minimally invasive technique developed in recent years, UBE technique is effective in the treatment of lumbar spinal stenosis caused by different causes, with satisfactory decompression effect, less damage, and good lumbar stability. UBE technique has significant advantages over open surgery and microscopy-assisted surgery in the treatment of lumbar disc herniation. In the treatment of lumbar spondylolisthesis, the postoperative trauma of UBE technique is less than that of conventional surgery, and the fusion rate is satisfactory. There are also complications such as spinal cord injury, spinal epidural hematoma, incomplete decompression or recurrence, nerve root irritation symptoms, and postoperative infection in the treatment of lumbar related diseases with UBE technique. Detailed preoperative planning is essential for patients with lumbar related diseases who are suitable for UBE surgery.

Conclusion:

UBE technique is easy to operate, has a gentle learning curve, can use conventional instruments, and has definite effectiveness. It is suitable for a variety of lumbar related diseases, but there are some defects and deficiencies.

目的:

对单侧双通道脊柱内镜（unilateral biportal endoscopy，UBE）技术治疗腰椎相关疾病的应用与进展进行综述。.

方法:

广泛查阅国内外应用UBE技术治疗腰椎相关疾病的文献，对该技术的发展历程、临床应用、操作要点及注意事项、相关并发症和不良反应以及优势和不足等方面进行综述。.

结果:

作为近年开展的微创技术，UBE技术治疗不同原因所致的腰椎管狭窄症临床疗效确切，减压效果满意，损伤小，腰椎稳定性好；在治疗腰椎间盘突出症方面，UBE技术较开放手术、显微镜辅助手术优势明显；在治疗腰椎滑脱症方面，UBE术后创伤较常规手术小，融合率满意。UBE技术治疗腰椎相关疾病也存在硬脊膜损伤、脊髓硬膜外血肿、减压不全或复发、神经根刺激症状、术后感染等并发症。对适合行UBE手术的腰椎相关疾病患者，详细的术前规划至关重要。.

结论:

UBE技术操作方便、学习曲线平缓、可使用常规器械且临床疗效确切，适用于多种腰椎相关疾病，但存在一定缺陷和不足。.