单侧双通道脊柱内镜技术与后路腰椎椎间融合术治疗腰椎退行性疾病患者的疗效比较

doi:10.3969/j.issn.1671-7171.2025.02.029

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摘要【目的】比较单侧双通道脊柱内镜技术(UBE)与后路腰椎椎间融合术(PLIF)治疗腰椎退行性疾病患者的疗效。【方法】选取2022年1月至2024年6月本院收治的102例腰椎退行性疾病患者,根据手术方式不同分为观察组(n=52,行UBE治疗)和对照组(n=50,行PLIF治疗)。比较两组患者手术情况、并发症发生情况及术前和术后7 d视觉模拟评分法(VAS)评分、日本骨科学会(JOA)的评分体系评分、C反应蛋白(CRP)水平和血沉(ESR)。【结果】观察组术中出血量、术后引流量少于对照组,住院时间短于对照组(P<0.05)。术后7 d,观察组VAS评分低于对照组, JOA的评分体系评分高于对照组(P<0.05)。观察组术后CRP水平和ESR低于对照组(P<0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。【结论】与传统的PLIF治疗相比,UBE治疗腰椎退行性疾病患者出血量少、住院时间短,疼痛缓解效果更显著,且两种手术方法的并发症发生率相近,提示UBE是一种安全、有效的治疗方式。

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关键词 ：脊柱疾病, 脊柱融合术, 内窥镜检查, 治疗结果

Abstract：【Objective】To compare the efficacy of unilateral biportal spinal endoscopic (UBE) and posterior lumbar interbody fusion (PLIF) in the treatment of lumbar degenerative diseases.【Methods】A total of 102 patients with lumbar degenerative diseases treated in our hospital from January 2022 to June 2024 were selected and divided into observation group (n=52, receiving UBE treatment) and control group (n=50, receiving PLIF treatment) according to different surgical methods. Preoperative and postoperative visual analogue scale (VAS) score, Japanese Orthopaedic Society (JOA) score, C-reactive protein (CRP) level and erythrocyte precipitation rate (ESR) were compared between the two groups.【Results】The intraoperative blood loss and postoperative drainage volume of the observation group were less than those of the control group, and the hospitalization time was shorter than that of the control group (P<0.05). 7 days after surgery, VAS score of the observation group was lower than that of the control group, JOA score was higher than that of the control group (P<0.05). The levels of CRP and ESR in the observation group were lower than those in the control group (P<0.05). There was no significant difference in the total incidence of complications between the two groups (P>0.05).【Conclusion】Compared with traditional PLIF therapy, UBE has less blood loss, shorter hospital stay, and more significant pain relief effect in the treatment of lumbar degenerative diseases. Moreover, the complication rates of the two surgical methods are similar, suggesting that UBE is a safe and effective treatment.

Key words： Spinal Diseases Spinal Fusion Endoscopy Treatment Outcome

收稿日期: 2024-12-30

中图分类号:

R681.5

引用本文:

张同昱, 张玉民, 王婷婷, 王献印, 孙广智. 单侧双通道脊柱内镜技术与后路腰椎椎间融合术治疗腰椎退行性疾病患者的疗效比较[J]. 医学临床研究, 2025, 42(2): 275-277.
ZHANG Tongyu, ZHANG Yumin, WANG Tingting, et al. Comparison of the Efficacy of Unilateral Biportal Spinal Endoscopy and Posterior Lumbar Interbody Fusion in the Treatment of Lumbar Degenerative Diseases. JOURNAL OF CLINICAL RESEARCH, 2025, 42(2): 275-277.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.02.029 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I2/275