临床骨科杂志2024，Vol.27Issue(2)：162-165,4.DOI:10.3969/j.issn.1008-0287.2024.02.004
单侧双通道脊柱内镜髓核摘除术治疗腰椎间盘突出症
Unilateral biportal endoscopy discectomy for treatment of lumbar disc herniation
摘要
Abstract
Objective To investigate the therapeutic effect of unilateral biportal endoscopy discectomy in the treat-ment of lumbar disc herniation.Methods The 37 patients with lumbar disc herniation were treated with unilateral bi-portal endoscopy discectomy.Operation time,incision length,hemoglobin,SF-36 quality of life score,pain VAS and Oswestry disability index(ODI)were recorded.Vertebral stability was evaluated according to disc height index(DHI)and sagittal range of motion(sROM).Results All patients were followed up from 6 months to 15 months.The opera-tion time was 90～115(105.00±16.32)min.The incision length was 9～12(10.30±2.20)mm in the observation channel and 11～14(12.10±1.20)mm in the working channel.There was no statistical difference in hemoglobin at 7 d after surgery,compared with the preoperation(P>0.05),and at 7 d postoperation,SF-36 quality of life score was improved than before surgery(P<0.05).The pain VAS:at 1 d,1,3 months postoperation and the last follow-up after surgery,they were all lower than that before surgery(P<0.05);compared with that before surgery,ODI was decreased at 1,3 months postoperation and the last follow-up(P<0.05);the above two indexes were decreased gradually with the passage of time(P<0.05).DHI and sROM had no statistical differences between preoperation and the postopera-tive 1,3 months,the last follow-up(P>0.05),and there were all no statistical differences at various time-point post-operatively(P>0.05).Conclusions Unilateral biportal endoscopy discectomy provide a clear surgical field,suffi-cient operating space,less trauma,and effectively relieve the symptoms of patients′ low back pain and leg pain,and which has little effect on the stability of lumbar spine.关键词
腰椎间盘突出症/单侧双通道脊柱内镜/髓核摘除术Key words
lumbar disc herniation/unilateral biportal endoscopy/discectomy分类
医药卫生引用本文复制引用
卢士学,李俊,张军,黄干..单侧双通道脊柱内镜髓核摘除术治疗腰椎间盘突出症[J].临床骨科杂志,2024,27(2):162-165,4.基金项目
安徽省教育厅自然科学重点项目(编号:KJ2021A1371、2023AH053361) （编号:KJ2021A1371、2023AH053361）
安徽省高校优秀人才支持项目(编号:gxyqZD2020062) （编号:gxyqZD2020062）
