[1]黄导,谢添,李曙波.单孔非同轴与同轴脊柱内镜手术治疗单节段腰椎管狭窄症的疗效比较[J].中国中医骨伤科杂志,2026,34(04):87-93.[doi:10.20085/j.cnki.issn1005-0205.260414]
　HUANG Dao,XIE Tian,LI Shubo.Comparison of Efficacy between Single-Port Non-Coaxial and Coaxial Spinal Endoscopic Surgery for Single-Segment Lumbar Spinal Stenosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(04):87-93.[doi:10.20085/j.cnki.issn1005-0205.260414]
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单孔非同轴与同轴脊柱内镜手术治疗单节段腰椎管狭窄症的疗效比较()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年04期
页码:
87-93
栏目:
临床研究
出版日期:
2026-04-10

文章信息/Info

Title:
Comparison of Efficacy between Single-Port Non-Coaxial and Coaxial Spinal Endoscopic Surgery for Single-Segment Lumbar Spinal Stenosis
文章编号:
1005-0205(2026)04-0087-07
作者:
黄导1; 谢添1; 李曙波1
1武汉市中医医院(湖北中医药大学附属国医医院)(武汉,430014)
Author(s):
HUANG Dao1; XIE Tian1; LI Shubo1
1Wuhan Municipal Hospital of Traditional Chinese Medicine(Affiliated Hospital of Hubei University of Chinese Medicine),Wuhan 430014,China.
关键词:
腰椎管狭窄症;  单孔非同轴脊柱内镜;  单侧入路双侧椎管减压术;  疗效;  并发症
Keywords:
lumbar spinal stenosis;  single-port non-coaxial spinal endoscopy;  unilateral laminotomy for bilateral decompression;  efficacy;  complications
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.260414
文献标志码:
A
摘要:
目的:比较单孔非同轴脊柱内镜技术(UNSES)与单通道脊柱内镜技术(UE)在腰椎管狭窄症(LSS)单侧入路双侧椎管减压术(ULBD)治疗中的临床效果。方法:选取2023年6月至2024年6月进行UE-ULBD及UNSES-ULBD治疗的单节段腰椎管狭窄症86例患者临床资料,随机分为同轴组(n=43)及非同轴组(n=43),比较两组患者围术期数据、临床疗效、Oswestry功能障碍指数(ODI)评分、疼痛视觉模拟量表(VAS)评分、影像学指标及并发症发生率差异。结果:非同轴组手术时间及术后至下床活动时间均低于同轴组,差异有统计学意义(P<0.05); 组间临床疗效优良率及并发症发生率差异无统计学意义(P>0.05)。治疗后两组患者ODI评分及VAS评分均降低,与治疗前差异有统计学意义(P<0.05),且组间评分差异无统计学意义(P>0.05); 非同轴组同侧小关节切除角度低于同轴组,差异有统计学意义(P<0.05),小关节保留率高于同轴组,差异有统计学意义(P<0.05); 两组硬膜囊面积均扩大,且非同轴组大于同轴组(P<0.05)。结论:单孔非同轴脊柱内镜技术与单通道脊柱内镜技术均能获得良好的临床效果,单孔非同轴脊柱内镜技术具有手术时间短、操作自由、视野广及同侧小关节切除角度小、小关节保存效果好等优点。
Abstract:
Objective:To compare the clinical outcomes of single-port uniportal non-coaxial spinal endoscopic surgery(UNSES)versus single-port uniportal endoscopic(UE)surgery in treating unilateral laminotomy for bilateral decompression(ULBD)stenosis.Methods:Clinical data from 86 patients with single-segment lumbar spinal stenosis undergoing UE-ULBD or UNSES-ULBD procedures between June 2023 and June 2024 were analyzed.Patients were randomly assigned to coaxial group(n=43)or non-coaxial group(n=43),with comparison of perioperative data,clinical outcomes,Oswestry disability index(ODI)scores,visual analogue scale(VAS)scores,imaging metrics,and complication rates.Results:The non-coaxial group showed a shorter operative time and earlier ambulation compared to the coaxial group(P<0.05).No significant differences were observed between the two groups in clinical outcomes or complication rates(P>0.05).Both groups demonstrated reduced ODI and VAS scores post-treatment(P<0.05),but no statistically significant difference was observed.The non-coaxial group achieved lower facet joint resection angles on the same side(P<0.05)and higher facet joint preservation rates(P<0.05).Both groups showed an increased dural sac area,with the non-coaxial group exceeding the coaxial group(P<0.05).Conclusion:Both UNSES technology and UE technology can achieve good clinical outcomes.UNSES technology has the advantages of shorter operation time,free maneuverability,wider surgical field of view,smaller resection angle of the ipsilateral facet joint,and better preservation of the facet joints.

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(收稿日期:2025-08-12)

更新日期/Last Update: 2026-04-15