单侧双通道内镜与经皮椎间孔镜技术治疗腰椎管狭窄症疗效对比

Curative Effect Comparison of Unilateral Dual Channel Endoscopy and Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Spinal Stenosis

目的研究对比单侧双通道内镜(UBE)与经皮椎间孔镜(PTED)技术治疗腰椎管狭窄症(LSS)的疗效。方法选取2022年7月—2023年9月本院确诊的60例LSS患者为研究对象,并随机分为研究组和对照组,每组30例。其中,研究组患者采用UBE技术治疗,对照组患者采用PTED技术治疗。比较两组患者围术期指标、功能指标,评价疗效和治疗安全性。结果研究组手术时间少于对照组(P<0.05),但两组术中出血量、下床时间和住院时间对比,差异无统计学意义(P>0.05)。术前,两组JOA、VAS、ODI评分对比,差异无统计学意义(P>0.05);术后3个月,研究组JOA高于对照组,VAS和ODI低于对照组,差异有统计学差异(P<0.05);组内比较,研究组或对照组的术后3个月JOA评分高于术前,术后3个月VAS、ODI评分均低于术前,差异有统计学意义(P<0.05)。两组疗效及优良率比较,差异无统计学意义(P>0.05)。两组并发症发生率,差异无统计学意义(P>0.05)。结论UBE比PTED手术用时更少,功能障碍改善效果更突出,表明UBE治疗LSS技术可在临床上推广应用。

Objective To compare effect of unilateral dual channel endoscopy(UBE)and percutaneous transforaminal endoscopic discectomy(PTED)in treatment of lumbar spinal stenosis(LSS).Methods The paper collected 60 LSS patients in our hospital from July 2022 to September 2023,and divided them into study group of 30 cases and control group of 30 cases randomly.Study group was treated with UBE,while control group with PTED.Perioperative and functional indicators were compared between two groups to evaluate effect and treatment safety.Results Surgical time in study group was shorter than control group(P<0.05),there was no statistically significant difference in intraoperative bleeding,out of bed time,and length of stay between two groups(P>0.05).JOA scores of study group were higher than control group at 3 months after surgery(P<0.05),while VAS and ODI scores were lower than control group(P<0.05).Within the same group,JOA scores at 3 months after surgery were higher than before surgery(P<0.05),and VAS and ODI scores were both lower than before surgery(P<0.05).There was no statistically significant difference in effect and excellent rate between two groups(P>0.05).There was no statistically significant difference in incidence of complications between two groups(P>0.05).Conclusion UBE needs less time and has more significant effect on improving functional impairment than PTED,indicating that UBE treatment can be widely applied for LSS in clinical practice.