单侧双通道内镜技术减压手术在腰椎侧隐窝狭窄合并同节段椎间孔狭窄患者治疗中的应用效果  

Application Effect of Unilateral Biportal Endoscopic Technique Decompression Surgery in the Treatment of Patients with Lumbar Lateral Recess Stenosis Combined with Cosegmental Foraminal Stenosis

作　　者：龙广 LONG Guang(Department of No.2 Orthopedics Surgery,Liupanshui Shougang Shuigang Hospital Co.,Ltd,Liupanshui 553000,China)

机构地区：[1]六盘水首钢水钢医院有限公司骨外二科,贵州六盘水553000

出　　处：《中国伤残医学》2025年第1期10-14,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析单侧双通道内镜技术(UBE)在腰椎侧隐窝狭窄合并同节段椎间孔狭窄患者治疗中的应用效果。方法:选取2023年3月—2024年2月六盘水首钢水钢医院收治的70例腰椎侧隐窝狭窄合并同节段椎间孔狭窄患者为研究对象,根据随机数字表法将其分为对照组及研究组,各35例。对照组接受大通道脊柱内镜减压手术治疗,研究组接受UBE减压手术治疗。比较两组围手术期指标、侧隐窝恢复情况、疼痛程度、腰椎功能及并发症发生情况、活动能力及并发症发生情况。结果:研究组的手术时间、切口长度、住院时间均短于对照组,出血量少于对照组,差异均有统计学意义(P<0.05)。术后7d,研究组的软性、骨性侧隐窝角度均大于对照组,差异均有统计学意义(P<0.05)。术后1、5d,研究组相较于行大通道脊柱内镜减压手术的患者,其疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0.05)。术后1个月,研究组的Oswestry功能障碍指数(ODI)评分低于对照组,日常生活活动能力量表(ADL)、腰椎日本骨科协会评分(JOA)评分均高于对照组,差异均有统计学意义(P<0.05);术后6个月,两组的ODI、ADL、JOA评分比较,差异均无统计学意义(P>0.05)。研究组的并发症发生率为5.71%,与对照组的11.43%比较,差异无统计学意义(P>0.05)。结论:腰椎侧隐窝狭窄合并同节段椎间孔狭窄患者采用UBE减压手术治疗的手术创伤小、椎体减压效果好,可有效减轻患者腰部及腿疼痛,侧隐窝恢复效果良好,腰部和腿部腰椎功能及日常生活能力恢复迅速,且安全性较高。Objective:To analyze the effect of unilateral biportal endoscopic technigne(UBE)decompression surgery in patients with lumbar lateral recess stenosis combined with cosegmental foraminal stenosis.Methods:A total of 70 patients with lumbar lateral recess stenosis combined with cosegmental foraminal stenosis admitted to Liupanshui Shougang Shuigang Hospital Co.,Ltd from March 2023 to February 2024 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 35 cases in each group.The control group received endoscopic decompression with large channel,treatment and the study group received treatment decompression with UBE.The perioperative indexes,lateral recess recovery,pain degree,lumbar function mobility occurrence of complicationswere compared between the two groups.Results:The operation time,incision length and hospital stay in the study group were shorter than those in the control group,and the blood loss was less than that in the control group,the differences were statistically significant(P<0.05).Seven days after operation,the angles of soft lateral recess and bone lateral recess in the study group were bigg than those in the control group,the differences were statistically significant(P<0.05).One and five days after operation,the Pain Visual Analogue Scale scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).one month after operation,the Oswestry Disability Index score of the study group was lower than that of the control group,while the Activity of Daily Living and lumbar Japanese Orthopaedic Association scores were higher than those of the control group,the differences were statistically significant(P<0.05);six months after operation,there were no significant differences in the ODI,ADL and Umbar JOA scores between the two groups(P>0.05).The complication rate of the study group was 5.71%,compared with 11.43%of the control group,the difference was not statistically

关 键 词：腰椎侧隐窝狭窄 同节段椎间孔狭窄 单侧双通道内镜技术 大通道脊柱内镜减压手术 疼痛程度 腰椎功能 

分 类 号：R687.3[医药卫生—骨科学]