Comparison of the Effect of Unilateral Dual-channel Spinal Endoscopy and Percutaneous Endoscopic Nucleus Pulposus Resection in the Treatment of Lumbar Disc Herniation
Objective:To investigate the effect of unilateral dual-channel spinal endoscopy and percutaneous endoscopy nucleus pulposus resection in the treatment of lumbar disc herniation.Method:The clinical data of 96 patients with lumbar disc herniation admitted to China Railway Fuyang Hospital from January 2022 to December 2023 were retrospectively analyzed.According to the surgical method,they were divided into observation group (unilateral dual-channel spinal endoscopy nucleus pulposus resection,n=48) and control group (percutaneous endoscopy nucleus pulposus resection,n=48).The postoperative pain,functional recovery,operative indexes and complications between the two groups were compared.Result:At 12 and 24 h after surgery,visual analogue scale (VAS) scores of the two groups were lower than those before operation,and those in observation group were lower than those in control group,the differences were statistically significant (P<0.05).After surgery,there was no significant difference in Oswestry disability index (ODI) score between the two groups (P>0.05).The incision length of control group was shorter than that of observation group,the number of intraoperative X-ray irradiation was more than that of observation group,and the amount of intraoperative bleeding was less than that of observation group,the differences were statistically significant (P<0.05).There was no significant difference in the incidence of complications between the two groups (P>0.05).Conclusion:In the treatment of lumbar disc herniation,both percutaneous endoscopy nucleus pulposus resection and unilateral dual-channel spinal endoscopy nucleus pulposus resection can achieve relatively satisfactory clinical results.Unilateral dual-channel spinal endoscopy produces fewer intraoperative X-ray exposures,while percutaneous endoscopy nucleus pulposus resection has shorter incision length and less intraoperative blood loss.The appropriate endoscopic method can be selected according to the specific conditions of patients.
万方数据
维普
