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<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.03.004

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1175 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【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.

Key words： Lumbar Vertebrae Intervertebral Disc Displacement Diskectomy, Percutaneous Treatment Outcome

Received: 15 January 2025

PACS:

R681.53

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Xiaoling
	MA Hongna
	TAN Lu

Cite this article:

WANG Xiaoling,MA Hongna,TAN Lu. Clinical Effect of Unilateral Biportal Endoscopic Discectomy Nucleus for Pulposus Extraction on Patients with Lumbar Disc Herniation[J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(3): 380-382.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2025.03.004 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2025/V42/I3/380

[1] 李水霞,刘博,王红,等. 腰椎间盘突出症三年流行病学特征及围手术期护理[J].现代实用医学, 2021, 33(10):1348-1349.
[2] 王成刚,耿广军. 青年发生腰椎间盘突出症的流行病学特点及射频消融髓核成形术的疗效分析[J].沈阳医学院学报, 2018, 20(6):505-507.
[3] 尹振宇, 石波, 宋晋刚,等. 侧后路椎间孔镜后路椎间盘镜技术与开放椎板开窗术治疗腰椎间盘突出症对 SLRT 得分及炎性因子水平的影响[J].河北医学, 2021,27(6):1022-1026.
[4] 中华医学会骨科学分会脊柱外科学组, 中华医学会骨科学分会, 骨科康复学组. 腰椎间盘突出症诊疗指南[J].中华骨科杂志, 2020, 40(8): 477-487.
[5] 陈涛,童新宙,郑阳,等. 显微镜和椎间孔镜下腰椎间盘切除术治疗腰椎间盘突出症的临床疗效[J].医学临床研究,2024,41(1):23-28.
[6] 郭雪彬. 影响腰椎间盘突出症经皮椎间孔镜治疗疗效的多因素Logistic分析[J].四川解剖学杂志, 2020,28(4):80-82.
[7] 肖涛, 王丛, 金建超. 腰椎管狭窄症双通道套叠椎板间入路内镜减压[J].中国矫形外科杂志, 2021,29(4):656-659.
[8] PRANATA R, LIM M A, VANIA R, et al. Biportal endoscopic spinal surgery versus microscopic decompression for lumbar spinal stenosis-a systematic review and Meta-analysis[J].World Neurosurg,2020,138:e450-e458.
[9] 王海峰,宋扬,王乃国. 单侧双通道脊柱内镜与经皮内镜及椎板间开窗髓核摘除术治疗腰椎间盘突出症临床对比研究[J].中国修复重建外科杂志, 2022, 36(10):1200-1206.
[10] EUM J H, HEO D H, SON S K, et al. Percutaneous biportal endoscopic decompression for lumbar spinal stenosis: a technical note and preliminary clinical results[J].J Neurosurg Spine,2016, 24(4): 602-607.
[11] LI Z H, YANG H, LIU M Z, et al. Clinical characteristics and risk factors of recurrent lumbar disk herniation: A retrospective analysis of three hundred twenty-one cases[J].Spine (Phila Pa 1976),2018, 43(21): 1463-1469.