目的:通过Meta分析对比单通道内镜及单侧双通道内镜(UBE)在治疗腰椎管狭窄症的临床疗效。方法:检索PubMed、Cochrane Library、Embase和Web of Science等数据库(从建库到2023年10月)对单通道内镜和单侧双通道内镜治疗腰椎管狭窄症疗效...目的:通过Meta分析对比单通道内镜及单侧双通道内镜(UBE)在治疗腰椎管狭窄症的临床疗效。方法:检索PubMed、Cochrane Library、Embase和Web of Science等数据库(从建库到2023年10月)对单通道内镜和单侧双通道内镜治疗腰椎管狭窄症疗效的临床研究进行检索。提取纳入研究的结局指标,包括:腰部和腿部疼痛的VAS评分、术后ODI评分、手术时间、住院天数、并发症发生率、手术优良率。使用Revman 5.3软件对数据进行统计学分析,单个率采用优势比(odds ratios, OR),连续性变量采用加权平均差异(weighted mean difference, WMD),并给出可信区间(confidence interval, CI)为95%。结果:总共有6项研究,515名患者被纳入该Meta分析。UBE手术相对于单通道内镜有着更短的手术时间(WMD −12.37, 95%CI −22.15~−2.6, P = 0.01)。两组患者在腰痛VAS评分[术后第一天(WMD 0.27, 95%CI −0.29~0.82, P = 0.35)、末次随访(WMD −0.02, 95%CI −0.1~0.06, P = 0.63)]、腿痛VAS评分[术后第一天(WMD −0.17, 95%CI −0.43~0.09, P = 0.20)、末次随访(WMD 0.03, 95%CI −0.15~0.15, P = 0.51)、ODI评分(WMD −0.1, 95%CI −0.67~0.47, P = 0.73)、并发症(OR 0.72, 95%CI 0.37~1.41, P = 0.34)、住院天数(WMD −0.06, 95%CI −0.27~0.15, P = 0.56)、手术优良率(OR 1.32, 95%CI 0.69~2.53, P = 0.56)等方面均无明显差异。结论:UBE和单通道内镜治疗腰椎管狭窄症的临床疗效和并发症发生率无明显差异。而UBE与单通道内镜组相比有着更短的手术时间。Objective: To compare the clinical efficacy of uniportal endoscoppic and biportal endoscopic (UBE) decompression for the treatment of lumbar spinal stenosis through meta-analysis. Methods: PubMed, Cochrane Library, Embase and Web of Science databases were searched (from the establishment of the database to October 2023) to compare the clinical studies on the clinical efficacy of uniportal and biportal endoscopy in the treatment of lumbar spinal stenosis. The outcome indicators included in the study were extracted, including VAS score of lumbar and leg pain, postoperative ODI score, operation time, length of hospital stay, complication rate, and surgical excellence rate. Statistical analysis was performed using Revman 5.3 software. A fixed or random effects model was used with odds ratios (OR) for single rate and weighted mean difference (WMD) for continuous variables, and confidence intervals CI was 95%. Results: A total of 6 studies with 515 patients were included in this meta-analysis. Compared with uniportal endoscopy, UBE surgery had a shorter operation time (WMD −12.37, 95%CI −22.15~2.6, P = 0.01). There was no significant difference between groups in VAS scores for low back pain (first day after surgery (WMD 0.27, 95%CI 0.29~0.82, P = 0.35), final follow-up (WMD −0.02, 95%CI 0.1~0.06, P = 0.63), and leg pain first day after surgery (WMD −0.17, 95%CI −0.43~0.09, P = 0.20), final follow-up (WMD 0.03, 95%CI −0.15~0.15, P = 0.51), ODI score (WMD −0.1, 95%CI −0.67~0.47, P = 0.73), complications (OR 0.72, 95%CI 0.37~1.41, P = 0.34), length of hospital stay (WMD −0.06, 95%CI 0.27~0.15, P = 0.56), and rate of excellent operation (OR 1.32, 95%CI 0.69~2.53, P = 0.56). Conclusion: There is no significant difference in clinical efficacy and complication rate between UBE and single channel endoscopy in the treatment of lumbar stenosis. Compared with the single channel endoscopic group, UBE has a shorter operation time.展开更多
目的:观察单通道脊柱内镜技术治疗极外侧椎间盘突出症(extraforaminal disk herniations,EFDHs)患者的临床效果和安全性。方法:回顾性分析接受单通道脊柱内镜治疗的21例极外侧椎间盘突出症患者的临床资料,其中5例合并椎间孔轻度狭窄,对...目的:观察单通道脊柱内镜技术治疗极外侧椎间盘突出症(extraforaminal disk herniations,EFDHs)患者的临床效果和安全性。方法:回顾性分析接受单通道脊柱内镜治疗的21例极外侧椎间盘突出症患者的临床资料,其中5例合并椎间孔轻度狭窄,对于合并椎间孔狭窄患者采用镜下可视环锯技术及镜下动力磨钻技术行腰椎间孔扩大成形。术前、术后1、3、6个月及1年采用视觉模拟评分法(visual analogue scale,VAS)评估患者腰腿疼痛程度,采用Oswestry功能障碍指数(Oswestry Disability Index,ODI)评估患者腰椎功能,末次随访时采用改良MacNab标准评价手术疗效。结果:术前疼痛VAS评分为7.14±1.11分,术后1、3、6个月及1年VAS评分依次递降,分别为2.67±0.86分、2.33±0.80分、1.67±0.80分及1.43±0.93分,均较术前显著降低,差异均有统计学意义(P<0.01)。术前ODI评分为65.64±4.67分,术后1、3、6个月及1年ODI评分依次递降,分别为34.24±3.85分、29.21±2.86分、24.42±4.17分及21.60±4.12分,均较术前显著降低,差异均有统计学意义(P<0.01)。末次随访时手术优良率为90.48%。结论:单通道脊柱内镜技术治疗极外侧椎间盘突出症可明显改善患者腰腿疼痛及腰椎功能,疗效高,安全性好。展开更多
文摘目的:通过Meta分析对比单通道内镜及单侧双通道内镜(UBE)在治疗腰椎管狭窄症的临床疗效。方法:检索PubMed、Cochrane Library、Embase和Web of Science等数据库(从建库到2023年10月)对单通道内镜和单侧双通道内镜治疗腰椎管狭窄症疗效的临床研究进行检索。提取纳入研究的结局指标,包括:腰部和腿部疼痛的VAS评分、术后ODI评分、手术时间、住院天数、并发症发生率、手术优良率。使用Revman 5.3软件对数据进行统计学分析,单个率采用优势比(odds ratios, OR),连续性变量采用加权平均差异(weighted mean difference, WMD),并给出可信区间(confidence interval, CI)为95%。结果:总共有6项研究,515名患者被纳入该Meta分析。UBE手术相对于单通道内镜有着更短的手术时间(WMD −12.37, 95%CI −22.15~−2.6, P = 0.01)。两组患者在腰痛VAS评分[术后第一天(WMD 0.27, 95%CI −0.29~0.82, P = 0.35)、末次随访(WMD −0.02, 95%CI −0.1~0.06, P = 0.63)]、腿痛VAS评分[术后第一天(WMD −0.17, 95%CI −0.43~0.09, P = 0.20)、末次随访(WMD 0.03, 95%CI −0.15~0.15, P = 0.51)、ODI评分(WMD −0.1, 95%CI −0.67~0.47, P = 0.73)、并发症(OR 0.72, 95%CI 0.37~1.41, P = 0.34)、住院天数(WMD −0.06, 95%CI −0.27~0.15, P = 0.56)、手术优良率(OR 1.32, 95%CI 0.69~2.53, P = 0.56)等方面均无明显差异。结论:UBE和单通道内镜治疗腰椎管狭窄症的临床疗效和并发症发生率无明显差异。而UBE与单通道内镜组相比有着更短的手术时间。Objective: To compare the clinical efficacy of uniportal endoscoppic and biportal endoscopic (UBE) decompression for the treatment of lumbar spinal stenosis through meta-analysis. Methods: PubMed, Cochrane Library, Embase and Web of Science databases were searched (from the establishment of the database to October 2023) to compare the clinical studies on the clinical efficacy of uniportal and biportal endoscopy in the treatment of lumbar spinal stenosis. The outcome indicators included in the study were extracted, including VAS score of lumbar and leg pain, postoperative ODI score, operation time, length of hospital stay, complication rate, and surgical excellence rate. Statistical analysis was performed using Revman 5.3 software. A fixed or random effects model was used with odds ratios (OR) for single rate and weighted mean difference (WMD) for continuous variables, and confidence intervals CI was 95%. Results: A total of 6 studies with 515 patients were included in this meta-analysis. Compared with uniportal endoscopy, UBE surgery had a shorter operation time (WMD −12.37, 95%CI −22.15~2.6, P = 0.01). There was no significant difference between groups in VAS scores for low back pain (first day after surgery (WMD 0.27, 95%CI 0.29~0.82, P = 0.35), final follow-up (WMD −0.02, 95%CI 0.1~0.06, P = 0.63), and leg pain first day after surgery (WMD −0.17, 95%CI −0.43~0.09, P = 0.20), final follow-up (WMD 0.03, 95%CI −0.15~0.15, P = 0.51), ODI score (WMD −0.1, 95%CI −0.67~0.47, P = 0.73), complications (OR 0.72, 95%CI 0.37~1.41, P = 0.34), length of hospital stay (WMD −0.06, 95%CI 0.27~0.15, P = 0.56), and rate of excellent operation (OR 1.32, 95%CI 0.69~2.53, P = 0.56). Conclusion: There is no significant difference in clinical efficacy and complication rate between UBE and single channel endoscopy in the treatment of lumbar stenosis. Compared with the single channel endoscopic group, UBE has a shorter operation time.
