Curative Effect and Superiority Discussion of Unilateral Bi-portal Endoscopic Targeting Technique in the Treatment of Lumbar Disc Herni-ation
10.11969/j.issn.1673-548X.2025.06.018
- VernacularTitle:单侧双通道脊柱内镜靶点技术治疗腰椎间盘突出症的疗效及优势
- Author:
Chuanchao DU
1
;
Shengguo ZHANG
;
Tao WU
Author Information
1. 100004 首都医科大学附属北京朝阳医院骨科
- Publication Type:Journal Article
- Keywords:
Unilateral bi-portal spinal endoscopy;
Targeting technology;
Lumbar spinal stenosis surgery
- From:
Journal of Medical Research
2025;54(6):98-102,108
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the main points and preliminary efficacy of unilateral bi-portal spinal endoscopy(UBE)in the treatment of lumbar disc herniation(LDH).Methods From March 2022 to June 2023,patients admitted to the spinal surgery department for LDH who underwent UBE surgery were divided into traditional UBE technique group and UBE targeting technique group according to different surgical methods.The traditional UBE technology group revealed the entire interlaminar space,while the targeting technique group revealed part of the interlaminar space.ODI disability index,VAS score of lower extremity and low back,and intraoperative and postoperative complications of the two groups were recorded before operation and at 1day,1 month,3months and 6months post-operative-ly.Results A total of 78 patients were included,including 34 patients in the UBE traditional technique group,aged 40.1±12.2 years,16males and 18 females;44 patients in the UBE targeting technique group,aged 39.7±11.3 years,28males and 16 females.There was no significant difference in the basic data between the two groups.The operations were completed as planned.The operation time was 72.03±18.39min vs 46.2±11.85min,and the blood loss was 36.3±10.5ml vs 19.5±5.7ml,respectively.There were no significant differences in ODI disability index,VAS scores of back and lower extremities at 1day before surgery between the two groups.The dosage of postoperative painkillers in the traditional technique group was higher than that in the target technique group,and the VAS score and ODI index of low back pain on the first day after surgery were significantly higher than those in the target group(P＜0.05),but there was no significant difference between the two groups of patients with lower extremity pain,both of which were significantly relieved.There was no significant difference in lumbar and lower extremity pain VAS between the two groups at 1 month,3months and 6months after surgery,but ODI in the traditional technique group was significantly higher than that in the targeting technique group at 1 month and 3 months after surgery.Six months after surgery,the remission rate of modified Macnab criteria in the targeting technique group was 91.5％,and that of the traditional technique group was 89.5％without significant difference(P＞0.05).Cerebrospinal fluid leakage occurred in 1 case in the traditional technique group,and hematoma compression of nerves occurred in 2 cases in the targeting technique group after extubation,which were relieved after conservative treatments.Conclusion UBE targeting technique is more minimally invasive than traditional UBE technique in the treatment of lumbar disc herniation,which is helpful for rapid recovery after surgery.
