中国医学创新2026，Vol.23Issue(25)：12-16,5.DOI:10.3969/j.issn.1674-4985.2026.25.003
可视化环锯椎间孔成形术在侧入路单通道内镜下椎间盘髓核摘除术治疗腰椎间盘突出症中的应用研究
A Study on the Application of Visualised Circular Saw Foraminoplasty in the Treatment of Lumbar Disc Herniation via Side-entry Single-channel Endoscopic Discectomy for Intervertebral Disc Nucleus Removal
摘要
Abstract
Objective:To investigate the efficacy of visualised circular saw foraminoplasty in the treatment of lumbar disc herniation(LDH)via side-entry single-channel endoscopic discectomy for intervertebral disc nucleus removal,with the aim of providing evidence to support the development of effective,safe and convenient surgical treatment methods for clinical practice.Method:The study included 60 patients with LDH admitted to the Department of Orthopaedics of Luoding People's Hospital from August 2024 to January 2026 and scheduled to undergo side-entry single-channel endoscopic discectomy for intervertebral disc nucleus removal.Using a random number table method,the subjects were divided into a control group and a study group,with 30 patients in each group.The control group underwent traditional perspective circular saw foraminoplasty,the study group underwent visualised circular saw foraminoplasty.The surgical parameters,VAS scores for lumbar and lower limb,Oswestry disability index(ODI)scores,the excellent and good rates,the ratio of facet joint reshaping area,and the incidence of postoperative complications between the two groups were observed and compared.Result:There were no statistically significant differences between the two groups in terms of intraoperative blood loss and hospital stay duration(P>0.05).The operative time in the study group was(77.45±12.38)minutes,which was shorter than that in the control group[(94.78±14.09)minutes],the number of fluoroscopic views during surgery was(8.05±2.22)times,which was lower than that in the control group[(11.45±3.05)times](P<0.05).The study group exhibited lower lumbar VAS scores and lower limb VAS scores at 24 hours postoperatively compared to the control group(P<0.05).There were no statistically significant differences between groups in ODI scores one day prior to discharge,the excellent and good rate at 3 months after operation,facet joint reshaping area ratios at 24 hours after operation,and postoperative complication incidence(P>0.05).Conclusion:Visualised circular saw foraminotomy via side-entry single-channel endoscopic discectomy for intervertebral disc nucleus removal in treating LDH enhances surgical efficiency,reduces radiation exposure and postoperative pain while maintaining therapeutic efficacy.关键词
腰椎间盘突出症/可视化/环锯/椎间孔成形术/单通道/侧入路Key words
Lumbar disc herniation/Visualisation/Circular saw/Foraminoplasty/Single-channel/Side-entry分类
医药卫生引用本文复制引用
温锐灿,陈宁,梁俊芳,李国兴,莫楚鸿,沈梓维,李结嫦,贾燕梅,张允烨..可视化环锯椎间孔成形术在侧入路单通道内镜下椎间盘髓核摘除术治疗腰椎间盘突出症中的应用研究[J].中国医学创新,2026,23(25):12-16,5.基金项目
广东省云浮市科技计划项目(WS2024030202) （WS2024030202）
