[1]张良志,刘洪,曾伟毅,等.单侧双通道内镜技术治疗腰椎椎管狭窄35例[J].中国中医骨伤科杂志,2023,31(04):64-68+72.[doi:10.20085/j.cnki.issn1005-0205.230413 ]
　ZHANG Liangzhi,LIU Hong,ZENG Weiyi,et al.Observation of Clinical Efficacy of Unilateral Biportal Endoscopic Discectomy on the Treatment of Lumbar Spinal Stenosis 35 Cases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(04):64-68+72.[doi:10.20085/j.cnki.issn1005-0205.230413 ]
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单侧双通道内镜技术治疗腰椎椎管狭窄35例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年04期
页码:
64-68+72
栏目:
临床报道
出版日期:
2023-04-15

文章信息/Info

Title:
Observation of Clinical Efficacy of Unilateral Biportal Endoscopic Discectomy on the Treatment of Lumbar Spinal Stenosis 35 Cases
文章编号:
1005-0205(2023)04-0064-05
作者:
张良志1; 2; 刘洪1; 2; 曾伟毅3; 王和鸣2; 3; 张泽升4; 郭泽兴3; 修忠标1; 2△
1福建中医药大学附属人民医院(福州,350004) 2中医骨伤及运动康复教育部重点实验室 3福建中医药大学 4福建中医药大学附属康复医院
Author(s):
ZHANG Liangzhi1; 2; LIU Hong1; 2; ZENG Weiyi3; WANG Heming2; 3; ZHANG Zesheng4; GUO Zexing3; XIU Zhongbiao1; 2△
1Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China; 2Key Laboratory of Traditional Chinese Medicine Bone Injury and Sports Rehabilitation of Ministry of Education,Fuzhou 350004,China. 3Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China; 4Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China
关键词:
腰椎椎管狭窄;  单侧双通道内镜;  脊柱微创
Keywords:
lumbar spinal stenosis;  unilateral biportal endoscopic;  minimally invasive spine
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.230413
文献标志码:
B
摘要:
目的:探讨单侧双通道内镜技术(Unilateral Biportal Endoscopic Discectomy,UBE)治疗腰椎椎管狭窄的临床疗效。方法:回顾性分析2020年6月至2022年5月35例腰椎椎管狭窄患者行单侧双通道内镜治疗的临床资料,记录术中出血量、手术时间、透视次数、并发症,以及术前、术后1周和术后3个月腰腿痛视觉模拟量表(Visual Analogue Scale,VAS)评分和Oswestry 功能障碍指数(Oswestry Disability Index,ODI)评分。 结果:单侧双通道内镜技术术中透视次数为(4.7±1.1)次,手术时间平均为(127.0±11.9)min,术中出血量平均为(46.4±7.1)mL。术后1周和3个月随访VAS 评分和ODI评分均较术前改善,差异有统计学意义(P<0.05); 术后并发症发生率为5.7%,2例为手术伤口不愈合,予拆线清理部分表皮组织后,重新缝合并外用康合素促进表皮生长,均愈合。术后未出现血管损伤、神经损伤、硬膜血肿和硬膜囊撕裂。单侧双通道内镜技术术后3个月改良 MacNab 标准优良率为94.4%(33/35)。结论:单侧双通道内镜技术治疗腰椎椎管狭窄在透视次数及术后短期症状缓解方面具有优势,同时具有视野清楚、手术切口小、减压彻底、保护腰椎软组织、患者接受度高等优势,但其远期临床疗效有待进一步研究。
Abstract:
Objective:To explore the clinical efficacy of unilateral biportal endoscopic discectomy(UBE)on the treatment of lumbar spinal stenosis.Methods:From June 2020 to May 2022,the clinical data of 35 patients with lumbar spinal stenosis who underwent unilateral biportal endoscopic treatment were retrospectively analyzed.The intraoperative blood loss,operation time,number of fluoroscopy,complications,the visual analogue scale(VAS)and Oswestry disability index(ODI)before operation,1 week after operation,and 3 months after operation were recorded.Results:The number of fluoroscopy during UBE was(4.7±1.1)times,the average operation time was(127.0±11.9)min,and the average intraoperative blood loss was(46.4±7.1)mL.The VAS score and ODI score were improved at 1 week and 3 months after surgery,and the difference was statistically significant(P<0.05). The incidence of postoperative complications was 5.7%,and 2 cases were nonunion of operative wound,suture was removed to cut off part of the epidermal tissue and then re-suture and topical Kangxin to promote epidermal growth and healing.There was no vascular injury,nerve injury,dural hematoma or dural sac tear.The excellent and good rate of modified MacNab standard was 94.4%(33/35)at 3 months after operation.Conclusion:UBE has advantages on the treatment of lumbar spinal stenosis in terms of fluoroscopy times and short-term symptom relief after surgery,as well as clear visual field,small surgical incision,complete decompression,protection of lumbar soft tissue,and high patient acceptance.But its long-term clinical efficacy needs further study.

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备注/Memo

备注/Memo:
△通信作者 E-mail:xzbdoctor@sina.com
更新日期/Last Update: 2023-04-10