单侧双通道脊柱内镜髓核摘除术治疗腰椎间盘突出症患者的临床疗效  

Clinical Effect of Unilateral Biportal Endoscopic Discectomy Nucleus for Pulposus Extraction on Patients with Lumbar Disc Herniation

作　　者：王晓玲 马红娜 谭璐 WANG Xiaoling;MA Hongna;TAN Lu(Minimally Invasive Spinal Surgery,The Third People's Hospital of Henan Province,Zhengzhou Henan 450000)

机构地区：[1]河南省直第三人民医院脊柱微创外科,河南郑州450000

出　　处：《医学临床研究》2025年第3期380-382,共3页Journal of Clinical Research

基　　金：2022年国家临床重点专科建设项目[编号:豫卫医函(2023)30号]。

摘　　要：【目的】探讨单侧双通道脊柱内镜髓核摘除术(unilateral biportal endoscopic discectomy,UBED)治疗腰椎间盘突出症(lumbar disc herniation,LDH)患者的临床疗效。【方法】选取2023年3月至2024年3月在本院诊治的120例患者,按照治疗方法不同分为UBED组和传统椎板间开窗髓核摘除术(fenestration discectomy,FD)组,每组60例。比较两组患者手术相关指标、术后并发症发生情况及治疗前、治疗1个月后功能障碍指数(ODI)评分、视觉模拟评分法(visual analogue scale,VAS)评分、日本骨科协会评估治疗分数(Japanese Orthopaedic Association scores,JOA)评分。【结果】UBED组手术时间显著长于FD组,住院时间显著短于FD组(P<0.05)。治疗1个月后,UBED组ODI、VAS评分明显低于FD组(P<0.05),JOA评分明显高于FD组(P<0.05)。UBED组术后并发症总发生率明显低于FD组(P<0.05)。【结论】UBED能缩短LDH患者住院时间,改善功能障碍,减轻疼痛,降低术后并发症发生率,提高腰椎功能,但手术时间相对较长。【Objective】To investigate the clinical efficacy of unilateral biportal endoscopic discectomy(UBED)in the treatment of Lumbar disc herniation(LDH).【Methods】A total of 120 patients diagnosed and treated in our hospital from March 2023 to March 2024 were divided into UBED group and traditional fenestration discectomy(FD)group according to different treatment methods,with 60 cases in each group.Surgery related indexes,postoperative complications,dysfunction index(ODI)scores and visual analogue scale(VAS)and Japanese Orthopaedic Association scores(JOA)scores before and after treatment were compared between the two groups.【Results】The operation time of the UBED group was significantly longer than that of the FD group,and the hospital stay was significantly shorter than the FD group(P<0.05).After 1 month of treatment,ODI and VAS scores in the UBED group were significantly lower than those in the FD group(P<0.05),JOA scores were significantly higher than those in the FD group(P<0.05).The total incidence of postoperative complications in the UBED group was significantly lower than that in the FD group(P<0.05).【Conclusion】UBED can significantly shorten the length of hospital stay in LDH patients,improve dysfunction,relieve pain,reduce the incidence of postoperative complications,and improve lumbar function,but the operation time is relatively long.

关 键 词：腰椎 椎间盘移位 椎间盘切除术 经皮 治疗结果 

分 类 号：R681.53[医药卫生—骨科学]