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.
万方数据
维普
