中国内镜杂志2024，Vol.30Issue(1)：67-72,6.DOI:10.12235/E20230146
单侧双通道脊柱内镜减压术治疗腰椎间盘突出症的临床疗效
Clinical efficacy of unilateral biportal endoscopic decompression for lumbar disc herniation
摘要
Abstract
Objective To observe the clinical effectiveness of unilateral biportal endoscopy(UBE)decompression in the treatment of lumbar disc herniation.Methods 80 patients with lumbar disc herniation who were treated with UBE decompression from January 2021 to March 2022 were collected,and the visual analogue scale(VAS)was applied to assess patient pain,Oswestry disability index(ODI)to assess limb function,and the Japanese Orthopaedic Association(JOA)score to evaluate patient vertebral body function at the preoperative and postoperative periods of 1 day,3 months,6 months,and 12 months,respectively.Results The mean VAS of the lumbar and back of patients before surgery was(5.72±2.18),(2.74±1.52),(1.92±1.26),(1.73±1.36),and(0.87±0.72)at the 1 day,3 months,6 months,and 12 months after surgery,respectively,with statistical significance(P<0.05).The VAS of the patient's leg decreased from(4.63±2.17)to(4.22±1.91)before and 1 day after surgery,with no significant difference(P>0.05),at 3 months(3.73±1.42),6 months(2.13±1.16),and 12 months(0.76±0.63)after surgery,with statistical significances(P<0.05);The preoperative ODI of the patients was(60.23±8.13)%,and decreased to(41.91±6.53)%,(12.82±4.24)%,(8.19±3.84)%,and(6.75±2.14)%after 1 day,3 months,6 months,and 12 months of follow-up,respectively,with statistical significances(P<0.05).The preoperative JOA scores was(9.08±1.34),1 day after surgery,the score was(10.89±0.88),3 months(13.34±1.25),6 months(15.75±1.24),and 12 months(18.12±1.86)after surgery,with significant improvement in lumbar function(P<0.05).Conclusion UBE decompression can achieve good clinical efficacy in the treatment of lumbar disc herniation,providing another option for the treatment of lumbar disc herniation,which is worth promoting.关键词
腰椎间盘突出症/脊柱微创技术/单侧双通道内镜技术/UBE减压术/临床疗效Key words
lumbar disc herniation/minimally invasive spinal technique/unilateral biportal endoscopy technique/UBE decompression/clinical efficacy分类
医药卫生引用本文复制引用
陆焱,郭瑛,梁昌海,邢国..单侧双通道脊柱内镜减压术治疗腰椎间盘突出症的临床疗效[J].中国内镜杂志,2024,30(1):67-72,6.基金项目
海南省卫生健康行业科研项目(No:22A200177) （No:22A200177）
