脊柱双通道内镜治疗青少年腰椎间盘突出症的临床研究  

Clinical Analysis of Unilateral Biportal Endoscopy in the Treatment of Lumbar Spinal Stenosis in Young People

作　　者：沙浩 潘健 芦斌 韩超 郭时空 韩康 SHA Hao;PAN Jian;LU Bin;HAN Chao;GUO Shi-kong;HAN Kang(Deprtment of orthopedic,Tangdu Hospital,Air Force Military Medical university,Xi'an,Shaanxi,710038,China;Deprtment of orthopedic,The 960th Hospital of the PLA Joint Logistics Support Force,Ji'nan,Shandong,250000,China)

机构地区：[1]空军军医大学唐都医院骨科,陕西西安710038 [2]解放军第九六〇医院骨科,山东济南250000

出　　处：《现代生物医学进展》2024年第3期497-501,共5页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81702935);山东省医药卫生科技发展计划项目(202204071065)。

摘　　要：目的:探讨使用单侧双通道脊柱内镜技术(unilateral biportal endoscopy,UBE)在青少年腰椎间盘突出症患者中的优势及安全性。方法:采用回顾性分析的方法,对符合纳入及排除标准的共计96例患者进行分析和比较,根据手术方式的不同,分为UBE组(52例)和单通道孔镜患者组(44例)。评价围手术期,手术前后疼痛、功能变化及影像学资料。结果:两组患者均无严重并发症。两组患者术后VAS评分及ODI评分较术前有显著改善(P<0.05),但从远期来看,UBE组优于PELD组。在术中透视次数、复发等指标中,UBE组显著优于PELD组。影像学指标中,UBE组在椎管面积,术后残留等指标中有显著优势(P<0.05)。结论:单侧双通道脊柱内镜技术在青年椎间盘突出症的治疗中是一种理想且安全的治疗方式。Objective:To observe the treatment effect of unilateral biportal endoscopy and annulus fibrosus stapler in the treatment of lumbar spinal stenosis in young people.Methods:A retrospective analysis of 96 cases of lumbar spinal stenosis in young people using unilateral biportal endoscopy and annulus fibrosus stapler(52,UBE)and percutaneous endoscopic lumbar discectomy,44,PELD.The perioperative period,follow-up and imaging data were evaluated.Results:All patients in both groups had operations performed successfully without serious complications.There is a significantly improvement after operation in VAS and ODI in all groups(P<0.05),while there is a significantly superior in long-term in UBE group.In addition,the UBE group proved significantly superior to the PELD group in terms of the X-ray times and recurrence(P<0.05).Radiographically,the UBE group also proved significantly superior to the PELD group in terms of the spinal canal area and the the postoperative residual(P<0.05).Conclusion:The unilateral biportal endoscopy could be a kind of ideal and safe treatment in clinic in the treatment of lumbar spinal stenosis in young people.

关 键 词：单侧双通道脊柱内镜技术 腰椎间盘突出症 微创 临床结果 

分 类 号：R681.53[医药卫生—骨科学]