椎间孔镜与单侧双通道内镜技术治疗腰椎间盘突出症的疗效比较

Comparison of Therapeutic Effects of Intervertebral Foramen Endoscopy and Unilateral Dual-Channel Endoscopy in the Treatment of Lumbar Disc Herniation

摘要: 目的：比较椎间孔镜与单侧双通道内镜技术(UBE)治疗腰椎间盘突出症的疗效。方法：收集2018年7月至2020年12月在襄阳市中医医院脊柱骨科进行手术治疗的腰椎间盘突出症的患者共14例。根据患者手术方式分为椎间孔镜组(7例)和单侧双通道内镜组(7例)。手术安全返回病房且术后无感染。分析两组手术时间、手术失血量及住院天数，术后随访12个月，比较两组术前、术后1个月、术后6个月及术后12个月的视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分。结果：椎间孔镜组手术时间、术后住院时间短于单侧双通道内镜组，术中出血量少于单侧双通道内镜组，差异有统计学意义(P < 0.05)。椎间孔镜组与单侧双通道内镜组术前、术后1个月、术后6个月VAS评分及术后12个月，VAS评分及ODI评分未见统计学意义(P > 0.05)。结论：两种方式都可对腰椎间盘突出症有良好的治疗，椎间孔镜对比UBE技术具有创伤小、手术快且花费小的优点。UBE技术操作更加方便、减压更彻底。

Abstract: Objective: To compare the efficacy of intervertebral foramen endoscopy and unilateral dual-channel endoscopy (UBE) in the treatment of lumbar disc herniation. Methods: A total of 14 patients with LDH who underwent surgical treatment in Department of Spine and Orthopedics, Xiangyang Hospi-tal of Traditional Chinese Medicine from July 2018 to December 2020 were included in the study. According to the surgical methods of the patients, they were divided into an intervertebral foramen endoscopy group (7 cases) and a unilateral dual-channel endoscopy group (7 cases). The operation was safely returned to the ward without postoperative infection. The operation time, operation blood loss and hospitalization days were analyzed in the two groups. The patients were followed up for 12 months after operation. The visual analogue scale (VAS) and Oswestry Disability Index (ODI) scores before operation, 1 month after operation, 6 months after operation and 12 months after operation were compared between the two groups. Results: The operation time and postoperative hospital stay in the intervertebral foramen endoscopy group were shorter than those of the unilat-eral dual-channel endoscopy group, and the intraoperative blood loss was less than that of the uni-lateral dual-channel endoscopy group, and the differences were statistically significant (P < 0.05). The VAS scores and ODI scores of the intervertebral foramen endoscopy group and the unilateral dual-channel endoscopy group before operation, 1 month, and 6 months after operation, and 12 months after operation were not statistically significant (P > 0.05). Conclusion: Both methods can be used for the treatment of lumbar disc herniation, and intervertebral foramen endoscopy has the advantages of less trauma, faster operation and lower cost. UBE technology is more convenient to operate and has more thorough decompression.