临床骨科杂志2026，Vol.29Issue(2)：165-168,4.DOI:10.3969/j.issn.1008-0287.2026.02.004
两种术式治疗腰椎间盘突出症的疗效比较
Comparison of the therapeutic efficacy of two surgical methods for lumbar disc herniation
任旺 1刘迎博 1曹盛林 1刘镒宁 1张家铭 1戴腾飞 1冯青2
作者信息
- 1. 承德医学院研究生院,河北 承德 067000
- 2. 沧州市人民医院脊柱骨科,河北 沧州 061000
- 折叠
摘要
Abstract
Objective To compare the therapeutic efficacy of unilateral laminotomy for bilateral decompression(UL-BD)and percutaneous endoscopic interlaminar discectomy(PEID)in the treatment of lumbar disc herniation(LDH).Methods The 58 patients with L4-5 segments LDH were divided into the ULBD group(treated with ULBD,30 ca-ses)and the PEID group(treated with PEID,28 cases)based on the surgical approach.The LDH recurrence rate,pain VAS,ODI,JOA score,and dural sac area were compared between the two groups.The MacNab criteria was used to evaluate efficacy.Results All patients were followed up for 6-8 months.The recurrence rate of LDH in the UL-BD group was lower than that in the PEID group(P＜0.05).At 1,3,6 months,the pain VAS had no difference be-tween two groups(P＞0.05);and the ODI,JOA scores in the ULBD group were both better than the PEID group(P＜0.05).The dural sac area was greater in the ULBD group than that in the PEID group at 3 d after the operation(P＜0.05).At 6 months after the operation,there was no significant difference in the excellent-good rate evaluated by MacNab criteria between the two groups(P＞0.05).Conclusions Both ULBD and PEID treatment of LDH can a-chieve satisfactory efficacy.Compared with PEID,ULBD has more thorough decompression and better dural sac area improvement,which can provide more space for nerve root activity,and is more conducive to the improvement of the patient's postoperative quality of life.关键词
单侧椎板间入路双侧椎管减压术/经皮内镜椎板间入路椎间盘切除术/腰椎间盘突出症Key words
unilateral laminotomy for bilateral decompression/percutaneous endoscopic interlaminar discectomy/lum-bar disc herniation分类
医药卫生引用本文复制引用
任旺,刘迎博,曹盛林,刘镒宁,张家铭,戴腾飞,冯青..两种术式治疗腰椎间盘突出症的疗效比较[J].临床骨科杂志,2026,29(2):165-168,4.
