单侧双通道内镜技术治疗与传统手术对钙化型腰椎间盘突出症患者腰椎功能影响的对比研究

Comparative Study on the Effects of Unilateral Biportal Endoscopy Technique Treatment and Traditional Surgery on Lumbar Spine Function in Patients with Calcified Lumbar Disc Herniation

目的对比单侧双通道内镜技术(unilateral biportal endoscopy,UBE)与传统手术对钙化型腰椎间盘突出症(lumbar disc herniation,LDH)患者腰椎功能的影响。方法回顾性选取2021年4月—2023年4月普宁市中医医院骨科收治的61例钙化型LDH患者的临床资料,根据手术方式不同分为观察组(n=30,UBE治疗)和对照组(n=31,传统开放手术治疗)。比较两组手术时间、手术切口、术后住院天数,记录视觉模拟疼痛评分(Visual Analogue,VAS)、日本骨科协会(Japanese Orthopaedic Asso⁃ciation,JOA)评分。结果观察组手术时间短于对照组、手术切口明显小于对照组,差异有统计学意义(P均<0.05)。两组患者术后住院时间比较,差异无统计学意义(P>0.05)。两组术后1周、1个月VAS评分均有所下降,且观察组VAS评分显著低于对照组,差异有统计学意义(P均<0.05)。两组术后1周、1个月JOA评分具有升高趋势,观察组JOA评分(23.78±1.30)分、(27.25±1.12)分,高于对照组的(20.81±1.46)分、(25.57±1.23)分,差异有统计学意义(P均<0.05)。结论与传统开放手术相比,UBE治疗钙化型LDH具有创伤小、恢复快的临床优点,有助于改善腰椎功能,具有较好的临床效果。

Objective To compare the effects of unilateral biportal endoscopy(UBE)treatment and traditional surgery on lumbar spine function in patients with calcified lumbar disc herniation(LDH).Methods The clinical data of 61 patients with calcified LDH admitted to the Department of Orthopedics of Puning Hospital of Traditional Chinese Medicine between April 2021 and April 2023 were retrospectively analyzed and divided into an observation group(n=30,UBE treatment)and a control group(n=31,traditional open surgical treatment)according to the surgical methods.Surgical time,surgical incision,postoperative hospitalization days were compared between the two groups,and Visual Analogue Scale(VAS)and Japanese Orthopedic Association JOA scores were recorded.Results In the observation group,the operation time was shorter and surgical incision was significantly smaller than those in the control group,and the differences were significantly significant(both P<0.05),while there was no significant difference in the comparison of postoperative hospitalization time between the two groups(P>0.05).The VAS scores of the observation group decreased at 1 week and 1 month after surgery,and the VAS scores of the observation group were significantly lower than those of the control group,and the differences were significantly significant(both P<0.05).JOA scores in the observation group had a tendency to increase at 1 week and 1 month after surgery,and JOA scores of(23.78±1.30)points and(27.25±1.12)points in the observation group were significantly higher than(20.81±1.46)points,(25.57±1.23)points,of the control group,and the differences were significantly significant(both P<0.05).Conclusion Compared with traditional open surgery,UBE for calcified LDH has the clinical advantages of less trauma and quicker recovery,which helps to improve lumbar spine function and has better clinical results.