Comparative study on short-term clinical efficacy of unilateral biportal and percutaneous interlaminar endoscopic in the treatment of L5S1 disc herniation
10.3969/j.issn.1005-6483.2024.06.022
- VernacularTitle:单侧双通道与经皮椎板间内镜治疗腰5骶1椎间盘突出症的短期临床疗效比较
- Author:
Jionghui CHEN
1
;
Chunming HUANG
;
Xiaochuan LI
;
Cheng JIANG
;
Wei WANG
;
Yonglong CHEN
;
Zhenwu ZHANG
;
Shaojian LUO
;
Mingnan LU
;
Gen LAN
Author Information
1. 525232 广东高州,广东医科大学附属高州市人民医院脊柱外科
- Keywords:
lumbar disc herniation;
unilateral biportal endoscopic discectomy;
percutaneous endoscopic interlaminar discectomy
- From:
Journal of Clinical Surgery
2024;32(6):634-638
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the short-term clinical effects of unilateral dual-channel endoscopic discectomy(UBED)and percutaneous endoscopic intervertebral discectomy(PEID)in the treatment of L5S,Lumbar disc herniation,LDH.Methods From January 2019 to January 2021,a total of 57 cases of L5S,LDH treated by UBED or PEID were analyzed retrospectively,including 30 cases in UBED group and 27 cases in PEID group.The operation time,intraoperative fluoroscopy times,postoperative hospitalization days and surgical complications were compared between the two groups.The visual analogue scale(VAS)and oswestry disability index(ODI)were used to compare the postoperative quality of life of the two groups,and the modified MacNab criteria was used to evaluate the clinical efficacy in the last follow-up.Results The operation time of UBED group and PEID group was(75.30±8.44)minutes and(68.37±4.63)minutes,respectively,and the difference between the two groups was statistically significant(P＜0.05).VAS and ODI of 1 week,3 months,1 year and 1.5 years after surgery in 2 groups were significantly decreased compared with those before surgery,with statistical significance(P＜0.05).The VAS score of low back pain in UBED group was higher than that in PEID group[(3.87±1.14)points vs(2.70±0.67)points]at 1 week after surgery(P＜0.05),and there was no significant difference in VAS and ODI at the other time points(P＞0.05).There was no statistical difference in the results of modified MacNab criteria in the last follow-up(P＞0.05).There were 2 cases of dural tear in PEID group,1 case of dural tear in UBED group and 1 case of temporary nerve root injury in PEID group after operation,all of which were cured after symptomatic treatment.Conclusion Compared with PEID,UBED has a longer operation time,more trauma and more obvious low back pain in the short term after operation.The short-term curative effect of the two operations on L5S1 LDH is similar,the incidence of complications is low,and the times of fluoroscopy are few.Both operations are safe and effective.
