临床骨科杂志2024，Vol.27Issue(2)：166-170,5.DOI:10.3969/j.issn.1008-0287.2024.02.005
单侧双通道内镜髓核摘除术联合纤维环缝合术治疗腰椎间盘突出症
Unilateral biportal endoscopy discectomy combined with annulus fibrosus suture for treat-ment of lumbar disc herniation
摘要
Abstract
Objective To investigate the efficacy of unilateral biportal endoscopy discectomy(UBED)combined with annulus fibrosus suture for treatement of lumbar disc herniation(LDH).Methods According to different surgical methods,83 patients with LDH were divided into control group(treated with UBED,41 cases)and observation group(treated with UBED combined with annulus fibrosus suture,42 cases).The surgical duration,intraoperative blood loss,length of hospital stay,pain visual analogue scale(VAS),Oswestry disability index(ODI),recurrence rate,and re-operation conditions were recorded in both groups.The modified MacNab score was used to evaluate the efficacy.Results All patients were followed up for 12～15 months.The difference in length of hospital stay had no difference between two groups(P>0.05).However,the observation group had a longer surgical duration and more intraoperative blood loss,compared with the control group(P<0.05).At 3 d,1,6,12 months postoperatively,the pain VAS and ODI of both groups were decreased,compared with the preoperation(P<0.05),and gradually decreased with the time prolonging(P<0.05).At the 1-month follow-up,ODI in the observation group was lower than the control group(P<0.05),while there were no statistical differences in pain VAS and ODI between the two groups at other time-period(P>0.05).The excellent-good rate did not show a statistical difference between the two groups(P<0.05),and there were no statistical differences in the recurrence rate and re-operation rate between the two groups(P>0.05).Conclusions The combination of UBED and annulus fibrosus suture for LDH can obtain satisfactory clinical out-comes,with faster recovery in the postoperative early period,while it has the disadvantages of the prolonging operative time and the increase of intraoperative bleeding.关键词
单侧双通道内镜下髓核摘除术/纤维环缝合术/腰椎间盘突出症Key words
unilateral biportal endoscopy discectomy/annulus fibrosus suture/lumbar disc herniation分类
医药卫生引用本文复制引用
余洋,王永涛,谢一舟,冯成郅,樊效鸿..单侧双通道内镜髓核摘除术联合纤维环缝合术治疗腰椎间盘突出症[J].临床骨科杂志,2024,27(2):166-170,5.基金项目
中国老年保健协会临床科研专项资助基金(编号:CAWA202105281637000503382) （编号:CAWA202105281637000503382）
