摘要
目的比较脊柱单通道Delta内镜与单侧双通道脊柱内镜(unilateral biportal endoscopy, UBE)治疗老年性腰椎椎管狭窄症的临床疗效。方法将2020年2月至2020年10月收治的48例腰椎椎管狭窄患者根据手术方法分成2组,A组25例行脊柱单通道Delta内镜,B组23例行UBE内镜治疗。比较2组患者手术时间、术中出血量、住院时间、手术并发症、手术切口疼痛视觉模拟评分(visual analogue scale, VAS)、Oswestry功能障碍指数(Oswestry disability index,ODI)。结果在手术时间上,脊柱单通道Delta内镜组明显优于UBE内镜组(P<0.05)。2组患者的术中出血量、住院时间差异无统计学意义(P>0.05)。2组患者术后24、48、72 h VAS评分差异无统计学意义(P>0.05)。2组患者术后3个月、末次随访ODI评分较术前明显改善(P<0.05),组间比较差异无统计学意义(P>0.05)。脊柱单通道Delta内镜组并发症发生率为8%(2/25),UBE内镜组并发症发生率为9%(2/23),差异无统计学意义(P>0.05)。结论脊柱单通道Delta内镜技术与UBE均可获得良好的临床疗效,但是脊柱单通道Delta内镜技术操作简单,学习曲线更低,是一种有效治疗老年性腰椎椎管狭窄的微创手术方式。
Objective To compare the clinical effect of single channel-spinal endoscopy(Delta) and unliateral biportal endoscopic technique(UBE) for the treatment of senile lumbar spinal stenosis. Methods We retrospectively analyzed 48 elderly patients with lumbar spinal stenosis treated between February and October 2020. The patients were divided into single channel-spinal endoscopy(Delta)group(n=25)and UBE group(n=23)according to different surgical methods. We compared the operation time, intraoperative blood loss, length of hospital stay, and surgical complications between the two groups. The visual analogue score(VAS)and Oswestry disability index(ODI)were compared between the groups. Results Single channel-spinal endoscopy(Delta)group was significantly inferior to UBE group in operation time(P<0. 05). There was no significant difference in intraoperative blood loss or length of hospital stay between the two groups(P>0. 05). The VAS scores at 24, 48, and 72 postoperative hours did not differ between the two groups(P>0. 05). The ODI scores at 3 postoperative months and final follow-up were significantly improved over the preoperative score in both groups(P<0. 05), but without significant difference in postoperative ODI score between the groups(P>0. 05). The incidence rate of complications was 8%(2/25)in single channel-spinal endoscopy(Delta)group and 9%(2/23)in UBE group,and no significant difference was found(P>0. 05). Conclusion Single channel-spinal endoscopy(Delta)and UBE technique both achieve satisfactory clinical efficacy in the treatment of senile lumbar spinal stenosis. but the former one exhibits advantages over the latter in easier performance and lower learning curve. Single channel-spinal endoscopy(Delta)is an efficacious minimally invasive surgical technique for treating senile lumbar spinal stenosis.
作者
王红建
吴志朋
WANG Hongjian;WU Zhipeng(Department of Spine minimally Invasive Surgery,Angang General Hospital,Anyang 455000,China)
出处
《西安交通大学学报（医学版）》
CAS
CSCD
北大核心
2021年第6期797-801,共5页
Journal of Xi’an Jiaotong University（Medical Sciences）
关键词
脊柱内镜
单侧双通道内镜
腰椎椎管狭窄
微创性
椎板间入路
spinal endoscope
unliateral biportal endoscope
lumbar spinal stenosis
minimally invasive
interlaminar approach
