单侧双通道内镜技术治疗单节段腰椎间盘突出症患者的效果及安全性分析  

Efficacy and Safety Analysis of Unilateral Double-Channel Endoscopic Technique in the Treatment of Patients with Single Segment Lumbar Disc Herniation

作　　者：孙封峰 王忠茂 SUN Fengfeng;WANG Zhongmao(Department No.2 of Spine,Zhangqiu District Hospital of Traditional Chinese Medicine,Jinan 250000,China)

机构地区：[1]山东省济南市章丘区中医医院脊柱二科,山东济南250000

出　　处：《中国伤残医学》2025年第4期25-28,41,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨单侧双通道内镜技术治疗单节段腰椎间盘突出症患者的临床效果。方法:回顾性分析2020年9月-2024年6月济南市章丘区中医医院收治的68例单节段腰椎间盘突出症患者的临床资料,按照手术方法的不同将其分为对照组和研究组,各34例。对照组采用经椎间孔入路单通道内镜技术治疗,研究组采用单侧双通道内镜(UBE)技术治疗。对比两组治疗效果、手术相关指标、腰部疼痛程度、腰椎功能及术后并发症发生情况。结果:研究组的治疗优良率为100.00%,高于对照组的85.29%,差异有统计学意义(P<0.05)。研究组术后首次下床时间较对照组短,差异有统计学意义(P<0.05);两组术中失血量和手术时间对比,差异均无统计学意义(P>0.05)。术后1个月,研究组疼痛视觉模拟法评分低于对照组,差异有统计学意义(P<0.05)。术后3个月,研究Oswestry功能障碍指数评分低于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率为5.88%,低于对照组的14.71%,差异有统计学意义(P<0.05)。结论:应用UBE技术治疗单节段腰椎间盘突出症患者可促进其术后尽早下床活动,缓解患者腰部疼痛程度,改善腰椎功能,降低并发症发生情况,治疗效果良好。Objective:To investigate the clinical effect of unilateral double-channel endoscopy technique in the treatment of patients with single segment lumbar disc herniation.Methods:The clinical data of 68 patients with single segment lumbar disc herniation treated in Zhangqiu District Hospital of Traditional Chinese Medicine of Jinan City from September 2020 to June 2024 were retrospectively analyzed,and they were divided into a control group and a research group according to different surgical methods,with 34 cases in each group.The control group was treated with single channel endoscopy through foraminal approach,and the study group was treated with unilateral double-channel endoscopy(UBE)technique.The therapeutic effect,operative indexes,lumbar pain degree,lumbar function and postoperative complications were compared between the two groups.Results:The excellent and good rate of the study group was 100.00%,which was higher than 85.29%of the control group,the difference was statistically significant(P<0.05).The first time of getting out of bed in the study group was shorter than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the amount of blood loss and operation time between the two groups(P>0.05).One month after surgery,the score of Pain Visual Analogue Scale of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).Three months after surgery,the Oswestry Disability Index score was lower than that of the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was 5.88%,which was lower than 14.71%in the control group,the difference was statistically significant(P<0.05).Conclusion:Application of UBE technique for the patients with single segmental lumbar intervertebral disc protrusion can promote the postoperative early ambulation,relief of patients with lumbar pain,improve the function of lumbar spine,reduce complication

关 键 词：单节段腰椎间盘突出症 单侧双通道内镜技术 经椎间孔入路单通道内镜技术 术后并发症 腰椎功能 

分 类 号：R687[医药卫生—骨科学]