三种脊柱内镜技术减压治疗单节段单侧症状腰椎管狭窄症的疗效比较
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i6.17041
Abstract
目的：比较单侧双通道脊柱内镜技术（unilateral biportal endoscpoic discetomy,UBE）、椎间盘镜技术（microendoscopic discetomy,MED）与椎间孔镜技术（percutaneous endoscopic lumbar discetomy,PELD）治疗单节段单侧症状腰椎管狭窄症的临床疗效。 方法 回顾性分析2022年9月至2024年12月期间于亳州市人民医院脊柱外科接受微创手术治疗的99例单节段单侧症状的腰椎管狭窄症患者。根据微创手术方式的不同，这些病例被分为三组：UBE组（36例）、MED组（28例）和PELD组（35例）。记录并比较三组患者围手术期指标、疼痛评分、功能障碍、疗效、并发症和硬膜囊面积等方面的差异。结果：三组患者在手术时长、疼痛评分、功能障碍、疗效和并发症方面差异均无统计学意义(P>0.05)，术中透视次数PELD组＞UBE组＞MED组（P＜0.05），术后住院时间MED组长于UBE组和PELD组（P＜0.05），三组术后硬膜囊面积比较：UBE组＞MED组＞PELD组（P＜0.05）。结论 三种脊柱内镜技术在单节段单侧症状的LSS的单纯减压治疗中具有相似的近期疗效，UBE技术因其在操作灵活性、减压效果及学习曲线等方面的显著优势，更加值得在临床中推广应用。
Keywords
单侧双通道脊柱内镜；椎间盘镜；椎间孔镜；腰椎管狭窄症；椎管减压术
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