单侧双通道脊柱内镜术与椎间孔镜髓核摘除术治疗腰椎管狭窄症患者的效果比较
Comparison of effects of unilateral biportal endoscopy and transforaminal endoscopic discectomy in treatment of patients with lumbar spinal stenosis
邢艳辉 1刘晶珂1
作者信息
- 1. 襄城县人民医院骨科,河南 许昌 461700
- 折叠
摘要
目的:比较单侧双通道脊柱内镜术(UBE)与椎间孔镜髓核摘除术(PTED)治疗腰椎管狭窄症(LSS)患者的效果.方法:回顾性分析 2019 年 5 月至 2023 年 2 月该院收治的 64 例LSS患者的临床资料.按手术方式的不同将其分为观察组(n=32)与对照组(n=32).观察组采用UBE治疗,对照组采用PTED治疗.比较两组治疗优良率、手术相关指标水平,手术前后腰椎功能[Oswestry功能障碍指数(ODI)]评分、疼痛程度[视觉模拟评分法(VAS)]评分,以及并发症发生率.结果:两组治疗优良率比较,差异无统计学意义(P>0.05);观察组术中出血量少于对照组,肛门首次排气时间、手术时间、首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);术后 1、3 个月,两组ODI评分均低于术前,但组间比较,差异无统计学意义(P>0.05);术后 1、3 d,两组VAS评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05).结论:UBE与PTED治疗LSS患者的总体效果相当,但UBE治疗可降低VAS评分的效果优于PTED治疗.
Abstract
Objective:To compare effects of unilateral biportal endoscopy(UBE)and percutaneous transforaminal endoscopic discectomy(PTED)in treatment of patients with lumbar spinal stenosis(LSS).Methods:The clinical data of 64 patients with LSS admitted to the hospital from May 2019 to February 2023 were retrospectively analyzed.According to different surgical methods,they were divided into observation group(n=32)and control group(n=32).The observation group was treated with UBE,while the control group was treated with PTED.The excellent and good rate of treatment,the levels of operation-related indicators,the scores of lumbar function[Oswestry disability index(ODI)],the pain degree[visual analogue scale(VAS)]before and after the surgery,and the incidence of complications were compared between the two groups.Results:There was no significant difference in the excellent and good rate between the two groups(P>0.05).The intraoperative blood loss in the observation group was less than that in the control group;the first anal exhaust time,the operation time,the first ambulation time and the hospitalization time were shorter than those in the control group;and the differences were statistically significant(P<0.05).At 1 and 3 months after the surgery,the ODI scores of both groups were lower than those before surgery,but there were no statistically significant differences between the two groups(P>0.05).Further,1 and 3 days after the surgery,the VAS scores of the two groups were lower than those before the surgery,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:The overall effects of UBE and PTED in the treatment of the LSS patients are similar.However,UBE treatment can reduce the VAS scores,and it is superior to the PTED treatment.
关键词
腰椎管狭窄症/单侧双通道脊柱内镜术/椎间孔镜髓核摘除术/腰椎功能/疼痛程度/腰椎功能/并发症Key words
Lumbar spinal stenosis/Unilateral biportal endoscopy/Percutaneous transforaminal endoscopic discectomy/Lumbar function/Pain degree/Lumbar function/Complication引用本文复制引用
出版年
2024
NETL
NSTL
万方数据