Short-term efficacy of unilateral dual channel endoscopy in the treatment of severe lumbar spinal stenosis
Objective To explore the short-term efficacy of unilateral dual channel endoscopy in the treatment of severe lumbar spinal stenosis and its influence on the area of the dural sac and functional recovery of patients.Methods Sixty patients with severe lumbar spinal stenosis admitted to Quzhou People's Hospital from January 2021 to January 2023 were prospectively selected as the study objects,and patients were divided into observation group and control group by random number table method,with 30 cases in each group.The observation group was treated with unilateral dual channel endoscopy technology,while the control group was treated with traditional posterior lumbar laminectomy and fenestration decompression.The surgical effects,changes in the area of the dural sac,functional recovery,and the occurence of complications were compared between the two groups.Results The total excellent and good rate of patients in the observation group was 93.33％,which was higher than 73.33％in the control group(P＜0.05).Compared with before the operation,the area of the dural sac in both groups increased 1 month after the operation,and the area in the observation group was larger than that in the control group(all P＜0.05).Compared with before the operation,the Japanese Orthopedic Association(JOA)low back pain score increased and the Oswestry disability index(ODI)decreased in both groups 3 months after the operation,and the above indicators in the observation group were better than those in the control group(all P＜0.05).The incidence of complications in the observation group and the control group was 10.00％and 20.00％,and there was no statistically significant difference between the two groups(P＞0.05).Conclusion Unilateral dual channel endoscopy has a significant short-term efficacy in the treatment of severe lumbar spinal stenosis,which can significantly reduce the postopera-tive pain degree of patients and improve their lumbar spine function.
Severe lumbar spinal stenosisUnilateral dual channel endoscopy treatmentShort-term efficacyArea of the dural sacFunctional recovery
万方数据
维普
