首页|单侧双通道内镜下腰椎间盘摘除术治疗腰椎间盘突出症的效果

单侧双通道内镜下腰椎间盘摘除术治疗腰椎间盘突出症的效果

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目的:分析单侧双通道内镜下腰椎间盘摘除术(UBED)治疗腰椎间盘突出症的效果。方法:选取 2022 年2 月—2023 年 2 月岑溪市人民医院收治的 80 例腰椎间盘突出症患者作为研究对象,采取随机数表法将患者分为对照组与观察组,各 40 例。对照组实施传统后路腰椎间盘摘除术,观察组实施UBED治疗。记录比较两组术中、术后情况、疼痛情况[视觉模拟评分法(VAS)评分]、腰椎功能[Oswestry功能障碍指数(ODI)]、腰痛疗效[日本骨科协会(JOA)评分]。结果:观察组术中出血量少于对照组,切口长度、手术时间、住院时间均短于对照组,差异有统计学意义(P<0。05)。术后3 个月、6 个月,观察组VAS评分、ODI评分均低于对照组,JOA评分高于对照组,差异有统计学意义(P<0。05)。结论:使用UBED治疗腰椎间盘突出症可以明显减少术中出血量、缓解术后疼痛,同时可缩短手术时间和住院时间,促进患者腰椎功能恢复。
Effect of Unilateral Biportal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation
Objective:To analyze the effect of unilateral biportal endoscopic discectomy(UBED)on lumbar disc herniation.Method:A total of 80 patients with lumbar disc herniation admitted to Cenxi People's Hospital from February 2022 to February 2023 were selected as the study objects,and the patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group underwent traditional posterior lumbar discectomy,and the observation group underwent UBED treatment.Intraoperative and postoperative conditions,pain[visual analogue scale(VAS)],lumbar function[Oswestry disability index(ODI)],and efficacy score for low back pain[Japanese Orthopaedic Association(JOA)]were recorded and compared between the two groups.Result:The intraoperative blood loss in the observation group was less than that in the control group,and the incision length,operation time and hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).At 3 months and 6 months after operation,VAS score and ODI score of observation group were lower than those in control group,JOA score was higher than that in control group,the differences were statistically significant(P<0.05).Conclusion:The use of UBED in the treatment of lumbar disc herniation can significantly reduce the amount of intraoperative blood loss,relieve postoperative pain,shorten the operative time and hospital stay of patients,and promote the recovery of lumbar function.

Unilateral biportalLumbar spineIntervertebral disc displacementClinical trials

羽天继、岑文广、杨启灿、钟里军、陆炜光

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岑溪市人民医院 广西 岑溪 543200

单侧双通道 腰椎 椎间盘移位 临床试验

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(12)
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