摘要
Abstract
Objective:To compare the clinical efficacy of unilateral biportal endoscopy(UBE)technique and interlaminar uniportal endoscopic(IUE)techniques in the treatment of patients with lumbar disc herniation with lumbar spinal stenosis.Methods:A retrospective analysis was conducted on the data of 68 patients with lumbar disc herniation combined with lumbar spinal stenosis admitted to Boluo County People's Hospital from May 2022 to October 2024.They were divided into a control group and a study group according to the different surgical methods,with 34 cases in each group.The control group was treated with IUE technology,while the study group was treated with UBE technology.The therapeutic effects,surgery-related indicators,degree of lumbar pain,lumbar function and occurrence of complications of the two groups were compared.Results:The total effective rate of treatment in the study group was 100.00%,which was higher than 79.41%in the control group,the difference was statistically significant(P<0.05).The operation time of the study group was longer than that of the control group,the number of intraoperative fluoroscopy sessions was less than that of the control group,the difference were statistically significant(P<0.05).Five days after the operation,the score of the Numerical Rating Scale for Pain in the study group was lower than that in the control group,and difference was statistically significant(P<0.05).Three months after the operation,the Oswestry Disability Index score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the study group was 2.94%,compared with 11.76%in the control group,the difference was not statistically significant(P>0.05).Conclusion:The UBE technique in the treatment of lumbar intervertebral disc protrusion with lumbar stenosis can effectively relieve the degree of postoperative lumbar pain in patients,improve their lumbar function,and has a low incidence of complications.The clinical efficacy is definite and it has clinical application value.关键词
腰椎间盘突出症/腰椎管狭窄症/单侧双通道内镜技术/经椎板间窗单通道内镜技术Key words
Lumbar disc herniation/Lumbar spinal stenosis/Unilateral biportal endoscopy technology/Interlaminar uniportal endoscopic technique分类
医药卫生
