Objective:To evaluate the effectiveness of the enhanced recovery after surgery(ERAS)clinical pathway in unilateral biportal endoscopic(UBE)lumbar discectomy.Methods:A retrospective analysis was conducted on the clinical data of 130 patients who underwent UBE lumbar discectomy for lumbar disc herniation at Beijing Friendship Hospital,Capital Medical University,from August 2022 to January 2024.Patients were divided into two groups:49 treated from August 2022 to April 2023(the traditional group)and 81 treated from May 2023 to January 2024(the ERAS group).The core points for the ERAS group included four patient educations,pain management,the rehabilitation department in guiding perioperative functional exercises,the use of"Outfast",and early ambulation.Pre-and post-operative visual analog scale(VAS)scores for lower limb pain,the Oswestry Disability Index(ODI),the time to the first ambulation,and hospitalization days were compared between the two groups.Results:Compared to the traditional group,the ERAS group had significantly lower VAS scores at 4 and 24 hours postoperatively,earlier first ambulation,shorter average hospital stays and less opioid consumption(all P<0.05).There were no statistically significant differences in VAS scores preoperatively,48 hours postoperatively and on the day of discharge,or in ODI scores preoperatively and on the day of discharge between the two groups(all P>0.05).The overall incidence of perioperative complications was similar between the two groups(P>0.05).Conclusions:Under the management of the ERAS clinical pathway,UBE for lumbar disc herniation can effectively reduce postoperative pain,shorten the time to the first ambulation,decrease hospital stay and the use of opioids,while did not increase perioperative complication rates,resulting in satisfactory perioperative clinical outcomes.
关键词
加速康复外科/单侧双通道脊柱内镜/微创手术/腰椎间盘突出症
Key words
enhanced recovery after surgery/unilateral biportal endoscopy/minimal invasive surgery/lumbar disc herniation
维普
万方数据