摘要
目的 UBE技术下行腰椎间盘摘除手术是通过特殊的内镜设备和操作技术，实现了对腰椎间盘突出症的精准治疗，但手术的成功与否需要护理人员的精心配合和周到护理，因此本文探讨单边双通道内镜（UBE）技术下行腰椎间盘摘除手术采取优质的护理配合对患者的应用效果。方法 对在我院采取收治的腰椎间盘突出患者进行深入研究，对比常规护理和优质手术护理两组患者临床应用效果。结果 观察组患者心理状况、生命质量和腰椎功能评分均显著优于对照组，组间存在对比意义（P＜0.05）。结论 UBE技术下行腰椎间盘摘除手术是一项复杂而精细的操作，只有实施优质的手术护理配合措施，才能确保手术的顺利进行和患者的安全康复。
关键词： 单边双通道内镜；腰椎间盘摘除手术；手术护理配合；应用效果
Abstract
Objective UBE technique downward lumbar disc removal operation is through special endoscopic equipment and operation technology, realize the precise treatment of lumbar disc herniation, but the success of the operation requires nursing careful cooperation and thoughtful care, so this paper discusses unilateral double channel endoscopic (UBE) technique downward lumbar disc removal surgery take high quality care with the application effect of patients. Methods To study the patients with lumbar disc herniation in our hospital, and compare the clinical effect of routine care and high-quality surgical care. Results The psychological condition, quality of life and lumbar spine function score of the observation group were significantly better than the control group, with comparative significance between the groups (P <0.05). Conclusion UBE technology is a complicated and delicate operation. Only the implementation of high-quality surgical nursing measures can ensure the smooth operation and the safe rehabilitation of patients.
Key words： Unilateral double-channel endoscopy; Lumbar intervertebral disc removal surgery; Surgical nursing cooperation; Application effect
参考文献 References
[1] 刘佳佳,严金莲,周玉香.早期康复护理在腰椎间盘突出症手术患者中的应用效果观察[J].现代诊断与治疗,2024, 35(7): 1094-1095,1098.
[2] 王志伟,柳金珠,马登.腰椎间盘突出症患者单边双通道内镜治疗的预后影响因素分析[J].中国现代医学杂志,2023, 33(20):76-80.
[3] 李高磊,魏嘉良.单侧双通道脊柱内镜技术治疗腰椎间盘突出症68例临床研究[J].中华实验外科杂志,2021,038 (011): 2262-2265.
[4] 刘健美,张琳琳.优质手术室护理配合用于单边双通道内镜脊柱手术效果观察[J].中国药业,2022,31(S02):241-242.
[5] 陈盼,郑丹扬,丁伟国,等.单边双通道内镜下椎间盘切除术治疗高度游离型腰椎间盘突出症[J].中国修复重建外科杂志,2022,36(07):860-865.
[6] 王宗桂,吴晓花,沈沁.腰椎管狭窄症患者行单边双通道内镜手术的围术期护理[J].中国临床护理,2022,14(09):557-560.
[7] 刘晏东,邓强,张凯东,等.机器人辅助单边双通道内镜行腰椎减压融合内固定术的回顾性研究[J].重庆医科大学学报,2023,48(11):1344-1350.
[8] 张夏琦,凡进,田大胜,等.单边双通道内镜技术与开放手术行腰椎后路减压融合的短期疗效比较[J].南京医科大学学报（自然科学版）,2021,41(10):1503-1508.
[9] 原静晨,宋洁富.OLIF与PLIF治疗腰椎管狭窄症的临床疗效比较[J].西部医学,2021,033(008):1165-1169.
[10] Cao SY,Fan BJ,Song X,et al. Expandable versus static cages in unilateral biportal endoscopy lumbar interbody fusion(ULIF) for treating degenerative lumbar spondylolisthesis (DLS): comparison of clinical and radiological results[J]. J Orthop Surg Res,2023,18(1):505.