单侧双通道内镜技术和单通道椎间孔镜技术治疗腰椎间盘突出症的效果比较  

Comparison on the Effects of Unilateral Bi-Channel Endoscopic Technique and Single-Channel Intervertebral Foramen Endoscopy Technique in the Treatment of Lumbar Disc Herniation

作　　者：张同昱 张玉民 王献印 ZHANG Tongyu;ZHANG Yumin;WANG Xianyin(Spinal Minimally Invasive Surgery Department,Puyang Traditional Chinese Medicine Hospital,Puyang 457001,China)

机构地区：[1]濮阳市中医医院脊柱微创外科,河南濮阳457001

出　　处：《临床医学工程》2025年第3期308-310,共3页Clinical Medicine & Engineering

摘　　要：目的对比单侧双通道内镜技术(UBE)和单通道经椎间孔镜下椎间盘切除术(PELD)治疗腰椎间盘突出症(LDH)的效果。方法94例LDH患者按手术方式分为双通道组(UBE)和参考组(PELD),比较两组的手术效果。结果与参考组相比,双通道组的手术时间、切口长度、术后住院时间较长,X线透视次数较少,术中失血量较高(P<0.05)。两组的VAS评分、ODI指数、手术优良率、术后并发症发生率对比,差异无统计学意义(P>0.05)。结论UBE治疗LDH的效果、安全性与PELD相当。Objective To compare the effects of unilateral bi-channel endoscopic technique(UBE)and single-channel percutaneous endoscopic lumbar discectomy(PELD)in the treatment of lumbar disc herniation(LDH).Methods 94 patients with LDH were divided into the bi-channel group(UBE)and the reference group(PELD)according to the surgical methods,and the surgical effects of the two groups were compared.Results Compared with the reference group,the bi-channel group had longer surgical time,incision length and postoperative hospitalization time,fewer X-ray fluoroscopy times,and higher intraoperative blood loss amount(P<0.05).No significant difference was found in the VAS score,ODI index,excellence and good rate of surgery,and incidence of postoperative complications between the two groups(P>0.05).Conclusions UBE and PELD show comparable efficacy and safety in the treatment of LDH.

关 键 词：单侧双通道内镜技术 单通道经椎间孔镜下椎间盘切除术 

分 类 号：R681.5[医药卫生—骨科学]