单侧双通道内镜与后路椎板开窗髓核摘除术治疗单节段腰椎间盘突出症的临床疗效对比

Comparison of clinical curative effect of unilateral biportal endoscopic discectomy and posterior vertebral lamina fenestration discectomy in treatment of single segment lumbar disc herniation

目的探讨单侧双通道内镜(unilateral biportal endoscopy,UBE)髓核摘除术治疗单节段腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效,并与后路椎板开窗髓核摘除术(posterior vertebral lamina fenestration discectomy,FD)比较。方法回顾性分析2020年8月—2021年8月郑州大学第二附属医院骨科收治的单节段腰椎间盘突出症76例患者的临床资料。分为观察组(UBE,41例)和对照组(FD,35例)。分别记录2组患者术前、术后第2天、术后第90天的下肢疼痛视觉评分(visual analogue scale,VAS)、Oswestry功能障碍指数(Oswestry disability index,ODI)。2组患者组内进行术后第2天、术后第90天的下肢VAS、ODI与术前比较。2组患者组间进行于术前、术后第2天、术后第90天的下肢VAS、ODI比较。结果2组患者组内术后第2天、术后第90天的下肢VAS、ODI均低于术前,差异有统计学意义(P<0.05)。2组患者组间于术前、术后第2天、术后第90天的下肢VAS、ODI的比较差异无统计学意义(P>0.05)。结论单侧双通道内镜(UBE)髓核摘除术与后路椎板开窗(FD)髓核摘除术治疗单节段腰椎间盘突出症的临床疗效均显著,2种手术方法在治疗单节段腰椎间盘突出症的临床疗效等效。

Objective To investigate the clinical curative effect of unilateral biportal endoscopic(UBE)discectomy in treatment of single segment lumbar disc herniation(LDH)and compare it with that of posterior vertebral lamina fenestration discectomy(FD).Methods The clinical data of 76 patients with single segment lumbar disc herniation from August 2020 to August 2021 in the department of orthopedics of the 2 nd affiliated hospital of Zhengzhou university were retrospectively analyzed.The patients were divided into two groups:observation group(UBE,41 cases)and control group(FD,35 cases).Before operation,on the 2 nd postoperative day and on the 90 th postoperative day,the visual analogue scale(VAS)of lower limb pain and Oswestry disability index(ODI)were observed.The VAS of lower limb pain or ODI on the 2 nd postoperative day or on the 90 th postoperative day was compared with that before operation in each group.The VAS of lower limb pain or ODI was compared between the two groups at each time node:before operation,on the 2 nd postoperative day and on the 90 th postoperative day.Results The VAS of lower limb pain or ODI on the 2 nd postoperative day or on the 90 th postoperative day was lower than that before operation in each group,there was significant difference(P<0.05).The VAS of lower limb pain or ODI was no significant difference(P>0.05)between the two groups at each time node:before operation,on the 2 nd postoperative day and on the 90 th postoperative day.Conclusion The clinical curative effect of unilateral biportal endoscopic discectomy or posterior vertebral lamina fenestration discectomy is significant in treatment of single segment lumbar disc herniation,two operative methods are equivalent in treatment of single segment lumbar disc herniation.