{"id":55364,"date":"2025-08-05T05:10:57","date_gmt":"2025-08-05T05:10:57","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=55364"},"modified":"2025-08-05T05:10:57","modified_gmt":"2025-08-05T05:10:57","slug":"%e4%b8%aa%e6%a1%88%e6%8a%a5%e9%81%93%e2%88%a3-ube%e6%b2%bb%e7%96%97%e7%a1%ac%e8%86%9c%e5%a4%96%e8%84%82%e8%82%aa%e5%a2%9e%e5%a4%9a%e7%97%873%e4%be%8b%e7%bb%8f%e9%aa%8c%e5%88%86%e4%ba%ab","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=55364","title":{"rendered":"\u4e2a\u6848\u62a5\u9053\u2223 UBE\u6cbb\u7597\u786c\u819c\u5916\u8102\u80aa\u589e\u591a\u75c73\u4f8b\u7ecf\u9a8c\u5206\u4eab"},"content":{"rendered":"

Edited by Spine Truth Editorial Team\u810a\u67f1\u7518\u9732\u8bed\u6797\u00ae\u4e2d\u56fd\u52a9\u5b66\u7f51\u897f\u5b89\u7ad9\u5b66\u672f\u00b7\u75be\u75c5\u4e0e\u5065\u5eb7\u79d1\u666e\u00b7\u52a9\u5b66\u00b7\u516c\u76ca\u884c\u4e4b3119\u5929\uff0c\u7b2c1726\u7bc7\u7f16\u8f91\uff1a\u5f20\u519b \u4e3b\u4efb\u533b\u5e08   \u5ba1\u6821 \u603b\u7f16\u8f91\uff1a\u738b\u6d77\u5f3a \u6559\u6388<\/p>\n

\u810a\u9ad3\u786c\u819c\u5916\u8102\u80aa\u589e\u591a\u75c7(spinal epidural lipomatosis, SEL)\uff0c\u5176\u7279\u5f81\u662f\u5728\u810a\u9ad3\u786c\u819c\u5916\u95f4\u9699\u5185\u5f02\u5e38\u5806\u79ef\u4e86\u5927\u91cf\u5305\u88f9\u786c\u819c\u56ca\u7684\u8102\u80aa\u7ec4\u7ec7\u3002<\/p>\n

\u8170\u690e\u7684\u89e3\u5256\u793a\u610f\u56fe\uff0c\u663e\u793a\u4e86\u786c\u819c\u5916\u8102\u80aa\u6240\u5728\u7684\u4f4d\u7f6e<\/p>\n

\u65e0\u75c7\u72b6\u6027SEL\u901a\u5e38\u4ec5\u5728\u5f71\u50cf\u5b66\u68c0\u67e5\u4e2d\u53d1\u73b0\uff0c\u800c\u90e8\u5206\u6709\u75c7\u72b6\u6027SEL\u53ef\u5f15\u8d77\u4e0d\u540c\u7a0b\u5ea6\u7684\u8170\u90e8\u75bc\u75db\u3001\u810a\u9ad3\u795e\u7ecf\u6839\u75c5\u6216\u9a6c\u5c3e\u795e\u7ecf\u75c5\u53d8\uff0c\u4e25\u91cd\u5f71\u54cd\u60a3\u8005\u7684\u751f\u6d3b\u8d28\u91cf\u3002\u78c1\u5171\u632f\u6210\u50cf\u4ecd\u7136\u88ab\u8ba4\u4e3a\u662f\u8bc4\u4f30SEL\u7a0b\u5ea6\u548c\u4e25\u91cd\u7a0b\u5ea6\u7684\u91d1\u6807\u51c6\u3002<\/p>\n<\/p>\n

SEL\u5927\u4f53\u6807\u672c\u3002S\u4e3a\u786c\u819c\u7ec4\u7ec7\uff0c\u7bad\u5934\u5904\u4e3a\u589e\u591a\u7684\u786c\u819c\u5916\u8102\u80aa\u3002<\/p>\n

\u867d\u7136\u6cbb\u7597SEL\u7684\u6700\u4f73\u65b9\u6cd5\u5c1a\u672a\u786e\u5b9a\uff0c\u4f46\u5bf9\u4e8e\u6025\u6027\u795e\u7ecf\u53d7\u538b\u3001\u9a6c\u5c3e\u7efc\u5408\u5f81\u6216\u4fdd\u5b88\u6cbb\u7597\u5931\u8d25\u7684\u60a3\u8005\uff0c\u624b\u672f\u51cf\u538b\u53bb\u9664\u591a\u4f59\u8102\u80aa\u7ec4\u7ec7\u662f\u4e00\u79cd\u5408\u7406\u7684\u9009\u62e9\u3002\u5355\u4fa7\u53cc\u901a\u9053\u810a\u67f1\u5185\u955c(UBE)\u662f\u4e00\u79cd\u65b0\u7684\u5fae\u521b\u810a\u67f1\u5916\u79d1\u6280\u672f\uff0c\u5df2\u88ab\u7528\u4e8e\u6cbb\u7597\u810a\u67f1\u9000\u884c\u6027\u75be\u75c5\uff0c\u5982\u690e\u7ba1\u72ed\u7a84\u548c\u8170\u690e\u95f4\u76d8\u7a81\u51fa\u3002UBE\u6280\u672f\u6709\u51e0\u4e2a\u4f18\u70b9\uff0c\u5305\u62ec\u66f4\u597d\u7684\u624b\u672f\u89c6\u91ce\uff0c\u66f4\u5c11\u7684\u7ec4\u7ec7\u663e\u9732\u548c\u808c\u8089\u5265\u79bb\uff0c\u4ece\u800c\u63d0\u4f9b\u66f4\u5feb\u7684\u672f\u540e\u6062\u590d\u3002<\/p>\n

UBE\u6cbb\u7597SEL\u7684\u6548\u679c\u5c1a\u65e0\u660e\u786e\u62a5\u9053\u3002\u8fd1\u671f\uff0c\u56fd\u5185\u5b66\u8005[1]\u9996\u6b21\u62a5\u9053\u4e86\u6211\u56fdUBE\u6210\u529f\u6cbb\u6108\u4e863\u4f8bSEL\u60a3\u8005\uff0c\u5e76\u56de\u987e\u6027\u5206\u6790\u4e86\u4e34\u5e8a\u8d44\u6599\uff0c\u5305\u62ec\u75c5\u56e0\u3001\u4e34\u5e8a\u8868\u73b0\u3001\u8bca\u65ad\u548c\u6cbb\u7597\u7ed3\u679c\u3002<\/p>\n

UBE\u6280\u672f\u6cbb\u7597SEL\u793a\u610f\u56fe<\/p>\n<\/p>\n

UBE\u6cbb\u7597SEL\u624b\u672f\u8fc7\u7a0b\u5916\u89c2\u53ca\u900f\u89c6\u56fe<\/p>\n

1#\u75c5\u4f8b\uff1a66\u5c81\u7537\u6027\uff0cBMI\u4e3a25.8\u30026\u4e2a\u6708\u524d\uff0c\u9010\u6e10\u51fa\u73b0\u8170\u75db\uff0c\u5e76\u5411\u9acb\u90e8\u53ca\u53cc\u817f\u5916\u4fa7\u653e\u5c04\u3002\u957f\u65f6\u95f4\u7ad9\u7acb\u3001\u884c\u8d70\u548c\u5de5\u4f5c\u540e\u75bc\u75db\u52a0\u91cd\uff0c\u5f2f\u8170\u548c\u8e72\u4e0b\u65f6\u75bc\u75db\u51cf\u8f7b\u3002\u4e00\u5468\u524d\uff0c\u7531\u4e8e\u75bc\u75db\uff0c\u4ed6\u53ea\u80fd\u884c\u8d70\u5927\u7ea620\u7c73\u3002\u5165\u9662\u65f6\uff0c\u60a3\u8005\u89c6\u89c9\u6a21\u62df\u75bc\u75db\u8bc4\u5206(VAS)\u4e3a8\u5206\uff0cOswestry\u529f\u80fd\u969c\u788d\u6307\u6570(ODI)\u4e3a74\u5206\u3002\u76f8\u5173\u75c5\u53f2\u5305\u62ec\u9ad8\u8840\u538b10\u5e74\uff0c\u591a\u53d1\u80be\u56ca\u80bf\u548c\u7ed3\u77f3\u3002\u60a3\u8005MRI\u8868\u73b0\u4e3aL3-L4\u548cL4-L5\u786c\u819c\u5916\u9ad8T1\u548cT2\u4fe1\u53f7\u3002T2\u8102\u80aa\u6291\u5236\u56fe\u50cf\u663e\u793a\u8102\u80aa\u7ec4\u7ec7\u6291\u5236\u3002\u60a3\u8005\u63a5\u53d7\u4e86\u4eceL3\u5230L4\u7684\u8170\u690eUBE\u51cf\u538b\u672f\uff0c\u5e76\u5207\u9664\u4e86\u690e\u7ba1\u5185\u786c\u819c\u5916\u8102\u80aa(\u56fe2D)\u3002\u672f\u540e\uff0c\u60a3\u8005\u62a5\u544a\u4e0b\u80a2\u9ebb\u6728\u548c\u75bc\u75db\u51cf\u8f7b\u3002\u60a3\u8005\u4e8e\u7b2c7\u5929\u51fa\u9662\u3002\u5728\u968f\u8bbf\u4e2d\uff0c\u6bcf\u534a\u5e74\u6253\u4e00\u6b21\u7535\u8bdd\uff0c\u5373\u4f7f\u5728\u968f\u8bbf1\u5e74\u534a\u65f6\u4e5f\u6ca1\u6709\u75c7\u72b6\u590d\u53d1\u3002\u5728\u6700\u540e\u4e00\u6b21\u968f\u8bbf\u65f6\uff0cVAS\u8bc4\u5206\u63d0\u9ad8\u52301\u5206\uff0c\u8868\u660e\u75bc\u75db\u660e\u663e\u51cf\u8f7b\uff0cODI\u63d0\u9ad8\u52308\u5206\u3002<\/p>\n

1#\u75c5\u4f8b\u7684\u810a\u67f1MRI\u56fe\u50cf\uff0c\u7bad\u5934\u6307\u793a\u5904\u4e3a\u589e\u591a\u7684\u786c\u819c\u5916\u8102\u80aa\u7ec4\u7ec7\uff0cD\u4e3aUBE\u672f\u540e\u6539\u53d8<\/p>\n

2#\u75c5\u4f8b\uff1a\u4e00\u4f4d66\u5c81\u7684\u7537\u6027\uff0c\u4f53\u91cd\u6307\u6570\u4e3a26.6\uff0c\u80cc\u90e8\u75bc\u75db\u5df2\u7ecf\u6301\u7eed\u4e8610\u5e74\u3002\u8fd110\u4e2a\u6708\uff0c\u60a3\u8005\u80cc\u90e8\u75bc\u75db\u52a0\u91cd\uff0c\u5e76\u4f34\u6709\u5de6\u4e0b\u80a2\u75bc\u75db\uff0c\u8fd0\u52a8\u540e\u75bc\u75db\u52a0\u91cd\u3002\u4f53\u683c\u68c0\u67e5\u663e\u793a\u5de6\u4e0b\u80a2\u6cbf\u5de6\u5750\u9aa8\u795e\u7ecf\u8d70\u884c\u533a\u808c\u8089\u65e0\u529b\u548c\u538b\u75db\u3002\u76f4\u817f\u62ac\u9ad8\u8bd5\u9a8c\u5448\u9633\u6027\u3002\u5165\u9662\u65f6\uff0c\u60a3\u8005VAS\u75bc\u75db\u8bc4\u5206\u4e3a9\uff0cODI\u529f\u80fd\u969c\u788d\u8bc4\u5206\u4e3a39\u3002\u76f8\u5173\u75c5\u53f2\u5305\u62ec\u9ad8\u8840\u538b2\u5e74\u3002\u60a3\u8005MRI\u8868\u73b0\u4e3aL2-L5\u786c\u819c\u5916\u9ad8T1\u548cT2\u4fe1\u53f7\u3002T2\u8102\u80aa\u6291\u5236\u56fe\u50cf\u663e\u793a\u8102\u80aa\u7ec4\u7ec7\u6291\u5236\u3002\u60a3\u8005\u63a5\u53d7\u4e86\u4eceL3\u5230L5\u7684\u8170\u690eUBE\u51cf\u538b\u672f\uff0c\u5e76\u5207\u9664\u4e86\u690e\u7ba1\u5185\u786c\u819c\u5916\u8102\u80aa\u3002\u672f\u540e\uff0c\u60a3\u8005\u4e0b\u80a2\u9ebb\u6728\u548c\u75bc\u75db\u51cf\u8f7b\u3002\u60a3\u8005\u4e8e\u7b2c8\u5929\u51fa\u9662\u3002\u672f\u540e3\u4e2a\u6708\uff0c\u60a3\u8005\u5728\u95e8\u8bca\u590d\u67e5MRI\uff0c\u6062\u590d\u60c5\u51b5\u826f\u597d\u3002\u534a\u5e74\u6253\u4e00\u6b21\u7535\u8bdd\uff0c\u5979\u7684\u4e0b\u80a2\u75c7\u72b6\u5b8c\u5168\u6d88\u5931\u4e86\u3002\u672b\u6b21\u968f\u8bbf\u65f6\uff0cVAS\u8bc4\u5206\u63d0\u9ad8\u81f31\u5206\uff0cODI\u8bc4\u5206\u63d0\u9ad8\u81f34\u5206\u3002<\/p>\n<\/p>\n

2#\u75c5\u4f8b\u7684\u810a\u67f1MRI\u56fe\u50cf\u3002(A-C)\u672f\u524d\u77e2\u72b6\u4f4dT1, STIR\u548c\u8f74\u4f4dT2\u52a0\u6743\u56fe\u50cf\u663e\u793a\u786c\u819c\u5916\u8102\u80aa\u8fc7\u5ea6\u751f\u957f\u538b\u8feb\u786c\u819c\u56caL2-L5(\u7bad\u5934)\uff0c(D)\u672f\u540eT2\u52a0\u6743\u56fe\u50cf\u663e\u793aL3-L5\u690e\u7ba1\u72ed\u7a84\u6539\u5584\u3002<\/p>\n

3#\u75c5\u4f8b\uff1a67\u5c81\u7537\u6027\uff0c\u4f53\u91cd\u6307\u657031.5\u3002\u60a3\u80056\u4e2a\u6708\u524d\u65e0\u660e\u663e\u539f\u56e0\u51fa\u73b0\u53cc\u4e0b\u80a2\u75bc\u75db\u548c\u9ebb\u6728\uff0c\u56e0\u6d3b\u52a8\u52a0\u91cd\u5e76\u4f34\u6709\u95f4\u6b47\u6027\u8ddb\u884c\u3002\u4f53\u683c\u68c0\u67e5\u663e\u793a\uff0c\u60a3\u8005\u81704\u53ca\u53cc\u4fa7\u4e0b\u80a2\u540e\u5916\u4fa7\u68d8\u7a81\u9644\u8fd1\u6709\u538b\u8feb\u6027\u75bc\u75db\uff0cL5-S2\u53cc\u4fa7\u611f\u89c9\u51cf\u9000\u3002\u5165\u9662\u65f6\uff0c\u60a3\u8005VAS\u75bc\u75db\u8bc4\u5206\u4e3a7\u5206\uff0cODI\u529f\u80fd\u969c\u788d\u8bc4\u5206\u4e3a52\u5206\u3002\u76f8\u5173\u75c5\u53f2\u5305\u62ec\u9ad8\u8840\u538b5\u5e74\uff0c\u808c\u7535\u5f02\u5e38\uff0c\u8003\u8651\u5468\u56f4\u795e\u7ecf\u75c5\u53d8\u3002\u77e2\u72b6\u9762MRI\u793aL4-L5\u786c\u819c\u5916T1\u3001T2\u9ad8\u4fe1\u53f7\u3002T2\u8102\u80aa\u6291\u5236\u56fe\u50cf\u663e\u793a\u8102\u80aa\u7ec4\u7ec7\u6291\u5236\u3002\u60a3\u8005\u4eceL4\u81f3L5\u884c\u8170\u690eUBE\u51cf\u538b\u672f\uff0c\u540c\u65f6\u5207\u9664\u690e\u7ba1\u5185\u786c\u819c\u5916\u8102\u80aa\u3002\u672f\u540e\uff0c\u60a3\u8005\u62a5\u544a\u4e0b\u80a2\u9ebb\u6728\u548c\u75bc\u75db\u7acb\u5373\u7f13\u89e3\u3002\u60a3\u8005\u4e8e\u7b2c5\u5929\u51fa\u9662\u3002\u672f\u540e3\u4e2a\u6708\uff0c\u60a3\u8005\u5728\u95e8\u8bca\u63a5\u53d7\u6838\u78c1\u5171\u632f\u68c0\u67e5\u540e\u6062\u590d\u826f\u597d\u3002\u57281.5\u5e74\u7684\u968f\u8bbf\u4e2d\uff0c\u6bcf\u534a\u5e74\u6253\u4e00\u6b21\u7535\u8bdd\uff0c\u6ca1\u6709\u75c7\u72b6\u590d\u53d1\u3002\u5728\u6700\u540e\u4e00\u6b21\u968f\u8bbf\u65f6\uff0cVAS\u8bc4\u5206\u63d0\u9ad8\u52301\u5206\uff0c\u8868\u660e\u75bc\u75db\u660e\u663e\u51cf\u8f7b\uff0cODI\u63d0\u9ad8\u52304\u5206\u3002<\/p>\n<\/p>\n

3#\u75c5\u4f8b\u7684\u810a\u67f1MRI\u56fe\u50cf\u3002\u60a3\u80053\u7684\u810a\u67f1MRI\u56fe\u50cf\u3002(A-C)\u672f\u524d\u77e2\u72b6T1, STIR\u548c\u8f74\u5411T2\u52a0\u6743\u56fe\u50cf\u663e\u793a\u786c\u819c\u5916\u8102\u80aa\u8fc7\u5ea6\u751f\u957f\u538b\u8febL4-L5\u7684\u786c\u819c\u56ca(\u7bad\u5934)\uff0c(D)\u672f\u540eT2\u52a0\u6743\u56fe\u50cf\u663e\u793aL4-L5\u690e\u7ba1\u72ed\u7a84\u51cf\u8f7b\u3002<\/p>\n

\u5c0f\u7ed3\uff1a\u5bf9SEL\u53ca\u65f6\u7684\u8bca\u65ad\u548c\u9002\u5f53\u7684\u5e72\u9884\uff0c\u53ef\u4ee5\u9632\u6b62\u795e\u7ecf\u529f\u80fd\u969c\u788d\u7684\u53d1\u5c55\u3002UBE\u662f\u4e00\u79cd\u5fae\u521b\u7684\u810a\u67f1\u5185\u955c\u6280\u672f\uff0c\u901a\u8fc7\u53bb\u9664\u8fc7\u591a\u7684\u690e\u7ba1\u5185\u8102\u80aa\u7ec4\u7ec7\u76f4\u63a5\u5b9e\u73b0\u795e\u7ecf\u51cf\u538b\uff0c\u521d\u6b65\u63a2\u7d22\u6cbb\u7597SEL\u53ef\u4ee5\u53d6\u5f97\u6ee1\u610f\u7684\u4e34\u5e8a\u7597\u6548\uff0c\u5bf9\u4e8e\u8fdc\u671f\u7597\u6548\u548c\u5e76\u53d1\u75c7\u95ee\u9898\uff0c\u8fd8\u9700\u8981\u8fdb\u884c\u540e\u7eed\u89c2\u5bdf\u7814\u7a76\u3002<\/p>\n

\u53c2\u8003\u6587\u732e1. Liu Z, Cai H, Zhao H, Tang L, Jia S, Zhou Z, Zhuo C, Chen H. Case Report: Technical description and clinical evaluation of three cases of unilateral biportal endoscopic decompression for symptomatic spinal epidural lipomatosis. Front Surg. 2024 Mar 12;11:1309202. doi: 10.3389\/fsurg.2024.1309202. PMID: 38533092; PMCID: PMC10963396.<\/p>\n<\/p>\n

\u300a\u810a\u67f1\u7518\u9732\u8bed\u6797\u00ae\u300b\uff1a\u4eba\u4f53\u4f4e\u7535\u79bb\u8f90\u5c04\u62cd\u7247\u6cd5<\/p>\n

\u6211\u52a9\u4f60\uff0c\u4f60\u52a9\u4ed6\uff0c<\/p>\n

\u674f\u6797\u6625\u6696\u52a9\u5b66\u9976\u76ca\u4f60\u6211\u4ed6\u3002<\/p>\n

             \u2014\u2014\u4e2d\u56fd\u52a9\u5b66\u7f51\u897f\u5b89\u5de5\u4f5c\u7ad9<\/p>\n

\u58f0  \u660e<\/p>\n

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Edited by Spine Truth Editorial Team\u810a\u67f1\u7518\u9732 … \u7ee7\u7eed\u9605\u8bfb →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-55364","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/55364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=55364"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/55364\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55364"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}