doi:10．3969/j．issn．1008-0287．2023．03．009·临床论著·两种手术方法治疗腰椎间盘突出症的疗效比较莫占峰，陆骞，陈成东，蒋雪生摘要:目的比较单侧双通道内镜下髓核摘除术(UBE)及经皮椎间孔镜髓核摘除术(PTED)治疗腰椎间盘突出症的疗效。方法将88例腰椎间盘突出症患者根据手术方法不同分为PTED组(45例)和UBE组(43例)。比较两组术中出血量、手术时间、住院时间、疼痛VAS评分、ODI，根据改良MacNab评定标准评价疗效。结果患者均获得随访，时间3～15个月。两组术中均未发生神经血管损伤、脑脊液漏等并发症。术中出血量、手术时间、住院时间PTED组均少(短)于UBE组(P＜0.05)。疼痛VAS评分、ODI:两组术后1d及1个月均低于术前(P＜0.05)，术后1个月均低于术后1d(P＜0.05)，术后1d、1个月两组间比较差异均无统计学意义(P＞0.05)。两组疗效优良率比较差异无统计学意义(P＞0.05)。结论UBE及PTED均能安全有效地治疗腰椎间盘突出症，但PTED在术中出血量、手术时间及住院时间方面更具优势。关键词:单侧双通道内镜;椎间孔镜;腰椎间盘突出症中图分类号:Ｒ681.57;Ｒ687.3文献标识码:A文章编号:1008－0287(2023)03－0328－05ComparisonefficacyoftwokindsofsurgicalmethodsfortreatmentoflumbardischerniationMOZhan-feng，LUQian，CHENCheng-dong，JIANGXue-sheng(DeptofOrthopaedics，HuzhouCentralHospital，Huzhou，Zhejiang313000，China)Abstract:ObjectiveTocomparetheefficacyofunilateralbiportalendoscopicdiscectomy(UBE)andpercutaneoustransforaminalendoscopicdiscectomy(PTED)inthetreatmentoflumbardischerniation．MethodsThe88patientswithlumbardischerniationweredividedintoPTEDgroup(45cases)andUBEgroup(43cases)．Intraoperativebloodloss，operativetime，lengthofhospitalstay，painvisualanaloguescale(VAS)，Oswestrydisabilityindex(ODI)werecompared，theefficacywasevaluatedaccordingtothemodifiedMacNabcriteria．ＲesultsAllpatientswerefol-lowedupfor3～15months．Therewerenocomplicationssuchasneurovascularinjuriesorcerebrospinalfluidleakageinthetwogroups．Intraoperativebloodloss，operativetime，andhospitalstayinPTEDgroupwereless(shorter)thanthoseinUBEgroup(P＞0.05)．ThepainVASandODIofbothgroups:at1dand1monthaftersurgery，theywerelowerthanthepreoperation(P＜0.05)，andwhichof1monthpostoperati...
