摘要
目的:探讨单侧双通道内镜下椎间盘切除术(UBED)治疗腰椎间盘突出症的临床效果及安全性。方法:回顾性分析2021年1月-2022年2月北京水利医院收治的79例腰椎间盘突出症患者的临床资料,根据手术方式不同分为观察组(n=42,UBED)和对照组[n=37,经皮内镜下椎间孔入路椎间盘切除术(PETD)]。比较两组疗效和围手术期指标情况,记录术前、术后7 d及术后1个月两组视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI),统计并发症发生情况。结果:观察组和对照组的优良率分别为95.24%、78.38%,观察组高于对照组(P<0.05);两组手术时间、住院天数比较,差异均无统计学意义(P>0.05);观察组术中出血量为(38.21±3.98)mL、透视次数为(3.98±0.63)次,低于对照组的[(43.09±3.76)mL、(5.28±0.71)次],差异均有统计学意义(P<0.05);术后7 d及术后1个月,两组VAS评分(腰痛、腿痛)及ODI均较术前降低,且观察组均低于对照组(P<0.05);观察组和对照组并发症发生率分别为4.76%、21.62%,观察组低于对照组(P<0.05)。结论:UBED治疗腰椎间盘突出症可减少术中出血量及透视次数,有效缓解腰痛、腿痛,并促进机体功能恢复,效果理想,是一种安全有效的治疗方式。
Objective:To explore the clinical effect and safety of unilateral biportal endoscopic discectomy(UBED)in the treatment of lumbar disc herniation.Method:The clinical data of 79 patients with lumbar disc herniation admitted to Beijing Water Conservancy Hospital from January 2021 to February 2022 were retrospectively analyzed,and they were divided into an observation group(n=42,UBED)and a control group[n=37,percutaneous endoscopic transforaminal discectomy(PETD)]according to different surgical methods.The curative effect and perioperative indicators of the two groups were compared.Visual analogue scale(VAS)and Oswestry dysfunction index(ODI)of the two groups were recorded before operation,7 days after operation and 1 month after operation,and the complications were counted.Result:The excellent rate of the observation group and the control group respectively was 95.24%,78.38%,and the observation group was higher than the control group(P<0.05).There were no significant difference in operation time and hospitalization days between the two groups(P>0.05).The amount of intraoperative bleeding and the number of fluoroscopy in the observation group respectively was(38.21±3.98)mL and(3.980.63)times,which were lower than those in the control group[(43.09±3.76)mL,(5.28±0.71)times],the differences were statistically significant(P<0.05).7 days after operation and 1 month after operation,the VAS scores(low back pain and leg pain)and ODI of the two groups were lower than those before operation,and the observation group were lower than those of the control group(P<0.05).The complication rates of the observation group and the control group respectively was 4.76%,21.62%,and that in the observation group was lower than that in the control group(P<0.05).Conclusion:UBED is a safe and effective treatment for lumbar disc herniation,which can reduce the amount of intraoperative bleeding and the number of fluoroscopy,effectively relieve low back pain and leg pain and promote the recovery of body function.
作者
王鹏
陈想伟
王云龙
WANG Peng;CHEN Xiangwei;WANG Yunlong(Beijing Water Conservancy Hospital,Beijing 100036,China;不详)
出处
《中国医学创新》
CAS
2023年第4期54-58,共5页
Medical Innovation of China
