单侧双通道脊柱内镜技术与经皮内镜下髓核摘除术治疗腰椎间盘突出症的疗效对比研究

A comparative study of the efficacy of unilateral double-channel spinal endoscopy and percutaneous endoscopic nucleus pulposus extraction in lumbar intervertebral disc herniation

目的 对比分析单侧双通道脊柱内镜技术(UBE)与经皮内镜下髓核摘除术(PELD)在治疗腰椎间盘突出症中的疗效.方法 选取我院2022年1月-2023年12月收治的腰椎间盘突出症患者80例,依据手术方式分为UBE组(40例)与PELD组(40例).UBE组用单侧双通道脊柱内镜技术,PELD组用经皮内镜下髓核摘除术.比较两组手术时间、术中出血量、住院时间、VAS评分、ODI及并发症发生率等.结果 UBE组手术时间长、术中出血量多(P<0.05),而住院时间、VAS评分、ODI及并发症发生率两组无显著差异(P>0.05).结论 UBE与PELD都能有效治疗腰椎间盘突出症,缓解疼痛和改善功能效果相当,临床应根据患者具体情况选择合适的手术方式.

Objective To analyze the efficacy of unilateral double-channel spinal endoscopy(UBE)and percutaneous endoscopic resection(PELD)in the treatment of lumbar disc herniation.Methods 80 patients with lumbar disc herniation admitted from January 2022 to December 2023 were selected from UBE(n=40)and PELD(n=40)according to the surgical method.The UBE group was treated with a unilateral two-channel spinal endoscopic technique,and the PELD group with a percutaneous endoscopic removal of the nucleus pulposus.Operation time,bleeding volume,hospital stay,VAS score,ODI,and complication rate were compared between the two groups.Results The UBE group had longer surgery time and more bleeding(P<0.05),while there was no significant difference in hospitalization time,VAS score,ODI,and incidence of complications between the two groups(P>0.05).Conclusion Both UBE and PELD can effectively treat lumbar disc herniation,relieve pain and improve function,and appropriate surgical methods should be selected according to the specific situation of patients.