显微镜通道技术与UBE技术在腰椎管狭窄症的临床应用对比研究

Comparative Study of the Clinical Application of Microscope Channel Technique and UBE Technique in Lumbar Spinal Stenosis

目的:对比显微镜通道技术与单侧双通道脊柱内镜技术(UBE)在腰椎管狭窄症的临床应用效果.方法:本研究选取2021年2月—2022年12月中国贵航集团三〇二医院治疗的63例腰椎管狭窄症患者为研究对象.根据1:1随机掷骰子原则将患者分为对照组(n=31)与试验组(n=32).试验组采用单侧双通道脊柱内镜技术手术治疗,对照组采用显微镜通道技术手术治疗.对比2组的预后疗效、并发症发生情况、腰椎功能及生存质量状况.结果:2组治疗总有效率对比,差异无统计学意义(P>0.05).术后1、7、14 d,试验组VAS评分均低于对照组,组间差异有统计学意义(P<0.05).试验组并发症发生率低于对照组,差异有统计学意义(P<0.05).术后3个月,2组JOA评分均高于术前1 d,且试验组高于对照组,差异有统计学意义(P<0.05).术后3个月,试验组各项生存质量评分均高于对照组,组间差异有统计学意义(P<0.05).结论:两种方法均具有较好的疗效.相对于显微镜通道技术,单侧双通道脊柱内镜技术在腰椎管狭窄症的临床应用能缓解患者的疼痛,降低患者的并发症发生率,也能能改善患者的腰椎功能,提高患者的生存质量.

Objective:To compare the clinical application of microscopic channel technique and unilateral double-channel spinal endoscopy(UBE)in lumbar spinal stenosis.Methods:63 patients with lumbar spinal stenosis treated in 302 Hospital of China Guihang Group from February 2021 to December 2022 as the study object.Patients were divided into a control group(n=31)and an experimental group(n=32)according to the 1:1 random roll of dice principle.The experimental group was treated with unilateral double-channel spinal endoscopic surgery,and the control group was treated with microscope channel surgery.The prognosis,complications,lumbar function and quality of life of the two groups were compared.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).At 1,7 and 14 days after operation,VAS scores in experimental group were lower than those in control group,and the differences between two groups were statistically significant(P<0.05).The complication rate of experimental group was lower than that of control group,and the difference was statistically significant(P<0.05).3 months after surgery,the JOA score of the two groups was higher than that of 1 day before surgery,and the experimental group was higher than the control group,the difference was statistically significant(P<0.05).3 months after surgery,the scores of quality of life in the experimental group were higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Both methods have good curative effect.Compared with the microscope channel technique,the clinical application of unilateral dual-channel spinal endoscopy technique in the treatment of lumbar spinal stenosis can promote the relief of patients'pain,reduce the incidence of complications,improve the function of the lumbar spine and improve the quality of life of patients.