单侧双通道内镜和传统开放手术治疗腰椎间盘突出症的临床效果及手术创伤性对比

Comparison of Clinical Results and Surgical Invasiveness between Unilateral Biportal Endoscopy and Conventional Open Surgery in the Treatment for Lumbar Disc Herniation

目的:比较单侧双通道内镜(UBE)和传统开放手术治疗腰椎间盘突出症的临床疗效及手术创伤性。方法:回顾性分析2020年6月~2022年12月湖北省中医院骨科收治的68例单节段腰椎间盘突出症患者的临床资料,按不同手术方式分为开放组(26例)和UBE组(42例),比较两组患者术中出血量、手术时间、住院时间和手术切口长度,Oswestry功能障碍指数(ODI)评分,视觉模拟疼痛(VAS)评分。结果:开放组的术中出血量、手术切口长度、住院时间均大于UBE组。结论:UBE和传统开放手术治疗腰椎间盘突出症疗效相同,但UBE出血量更少、住院时间更短、手术创伤性更小。

Objective: To compare the clinical efficacy of unilateral biportal endoscopy (UBE) and traditional open surgery for lumbar disc herniation. Methods: The clinical data of 68 patients with sin-gle-segment lumbar disc herniation admitted to the Department of Orthopedics, Hubei Provincial Hospital of Traditional Chinese Medicine from June 2020 to December 2022 were retrospectively analyzed and divided into open group (26 cases) and UBE group (42 cases) according to different surgical methods, comparing the intraoperative bleeding, operative time, hospital stay and surgical incision length, Oswestry dysfunction index (ODI) score, and visual analogue pain (VAS) score. Re-sults: Intraoperative bleeding, surgical incision length, and hospital stay were greater in the open group than in the UBE group. Conclusion: UBE and traditional open surgery for lumbar disc herni-ation were equally effective, but UBE had less bleeding, shorter hospital stay, and less invasive sur-gery.