[1]庹伟 周霖 刘德森辜刘伟 薛晓凯 曹洪**.单侧双通道内镜技术治疗腰椎管狭窄的初步研究[J].中国微创外科杂志,2021,01(1):56-60.
　Tuo Wei,Zhou Lin,Liu Desen,et al.Preliminary Study of Unilateral Biportal Endoscopic Treatment of Lumbar Spinal Stenosis[J].Chinese Journal of Minimally Invasive Surgery,2021,01(1):56-60.
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单侧双通道内镜技术治疗腰椎管狭窄的初步研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2021年1期
页码:
56-60
栏目:
临床研究
出版日期:
2021-02-26

文章信息/Info

Title:
Preliminary Study of Unilateral Biportal Endoscopic Treatment of Lumbar Spinal Stenosis
作者:
庹伟 周霖 刘德森辜刘伟 薛晓凯 曹洪**
(湖北省十堰市人民医院湖北医药学院附属人民医院骨科中心，十堰442000)
Author(s):
Tuo Wei;  Zhou Lin;  Liu Desen;  et al.
Center of Orthopedics, Shiyan People’s Hospital, Affiliated People’s Hospital of Hubei University of Medicine, Shiyan 442000, China
关键词:
内镜; 椎管狭窄
Keywords:
Endoscope; Spinal stenosis
文献标志码:
A
摘要:
目的探讨单侧双通道内镜技术(unilateral biportal endoscopic discectomy，UBE)治疗腰椎管狭窄的疗效。方法回顾性分析2017年1月~2019年7月腰椎管狭窄47例资料，其中UBE治疗22例(UBE组)，椎间盘镜技术(microendoscopic discectomy，MED)治疗25例(MED组)，比较2组术中出血量、术后住院时间、并发症，以及术前、术后2天、术后1年腰腿痛视觉模拟评分(Visual Analogue Scale，VAS)和Oswestry功能障碍指数(Oswestry Disability Index，ODI)。结果与MED组相比较，UBE组术中出血量少［(48.2±7.2)ml vs. (94.0±11.2)ml，t=-16.466，P=0.000］，术后住院时间短［(5.9±1.6)d vs. (9.2±1.0)d，t=-8.636，P=0.000］。2组VAS评分和ODI术后均明显降低，UBE组VAS评分降低更明显。术后1年改良MacNab标准优良率UBE组为90.9%(20/22)，MED组为88.0%(22/25)，差异无显著性(P=1.000)。结论UBE治疗腰椎管狭窄在术中出血量、术后住院时间以及术后短期疼痛缓解方面优于MED，值得临床推广。
Abstract:
ObjectiveTo investigate the efficacy of unilateral biportal endoscopic discectomy (UBE) in the treatment of lumbar spinal stenosis.MethodsClinical data of 47 cases of lumbar spinal stenosis from January 2017 to July 2019 were retrospectively analyzed. Among them, 22 cases were treated with UBE (UBE group), and 25 cases were treated with microendoscopic discectomy (MED) (MED group). Intraoperative blood loss, postoperative hospital stay and complications were compared between the two groups. The Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) before surgery, 2 days and 1 year after surgery were measured.ResultsCompared with the MED group, the intraoperative blood loss in the UBE group was less ［(48.2±7.2) ml vs. (94.0±11.2) ml, t=-16.466, P=0.000］, and the postoperative hospital stay was shorter ［(5.9±1.6) d vs. (9.2±1.0)d, t=-8.636, P=0.000］. The VAS score and ODI of the two groups were significantly reduced after operation, the VAS score of the UBE group decreased more significantly. The excellent rate of modified MacNab criteria at one year after operation was 90.9% (20/22) in the UBE group and 88.0% (22/25) in the MED group (P=1.000).ConclusionUBE is superior to MED in the treatment of lumbar spinal stenosis in terms of intraoperative blood loss, postoperative hospital stay and shortterm postoperative pain relief, which is worthy of clinical promotion.

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备注/Memo

备注/Memo:
基金项目：湖北省自然科学基金面上项目(2018CFB524)；湖北省教育厅科学研究计划指导性项目(B2018110)；湖北医药学院药护学院2019年度教学研究项目(YHJ2019006)；湖北医药学院药护学院2019年度教学研究项目(YHJ2019023) **通讯作者，Email：33556511@qq.com
更新日期/Last Update: 2021-04-02