摘要
目的比较单侧双通道脊柱内镜(UBE)与经皮椎间孔镜腰椎间盘切除术(PELD)治疗腰椎管狭窄症(LSS)的效果。方法回顾性选取2021年1月至2023年12月我院收治的80例LSS患者作为研究对象,按照手术方式不同将其分为对照组(采用PELD治疗)和观察组(采用UBE治疗),各40例。比较两组的治疗效果。结果观察组的手术时间长于对照组,切口长度大于对照组(P<0.05);两组的住院时间比较,差异无统计学意义(P>0.05)。术前、术后3个月,两组的视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);术后3个月,两组的VAS评分低于术前,差异具有统计学意义(P<0.05);术后3个月,观察组的Oswestry功能障碍指数(ODI)评分低于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论UBE在LSS治疗中具有较好的临床效果,可显著改善患者腰椎功能并降低并发症发生率;但因其手术时间较长、切口总长度较大,临床在选择时需综合考虑患者具体情况与手术需求。
Objective To compare the effects of unilateral biportal endoscopy(UBE)and percutaneous endoscopic lumbar discectomy(PELD)in the treatment of lumbar spinal stenosis(LSS).Methods A total of 80 patients with LSS admitted in our hospital from January 2021 to December 2023 were retrospectively selected as the research objects.According to different surgical methods,the patients were divided into control group(treated with PELD)and observation group(treated with UBE),with 40 cases in each group.The therapeutic effects of the two groups were compared.Results The operation time of the observation group was longer than that of the control group,and the incision length was larger than that of the control group(P<0.05);there was no significant difference in hospitalization time between the two groups(P>0.05).There was no significant difference in Visual Analogue Scale(VAS)score between the two groups before operation and at 3 months after operation(P>0.05);at 3 months after operation,the VAS score of the two groups was lower than that before operation,and the difference was statistically significant(P<0.05);at 3 months after operation,the Oswestry Disability Index(ODI)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion UBE has a good clinical effect in the treatment of LSS,which can significantly improve the lumbar function and reduce the incidence of complications.However,due to its long operation time and large total length of incision,the specific conditions and surgical needs of patients should be comprehensively considered in clinical selection.
作者
张轩昂
仲崇煊
曹慧
ZHANG Xuan'ang;ZHONG Chongxuan;CAO Hui(Xinyi Hospital of Traditional Chinese Medicine,Xinyi 221400,China)
出处
《临床医学研究与实践》
2025年第23期54-57,共4页
Clinical Research and Practice
基金
徐州市科技项目(No.KC23354)。
作者简介
张轩昂(1986-),男,副主任中医师,硕士。研究方向:脊柱微创治疗;通讯作者:曹慧,E-mail:1985294031@qq.com.
