Clinical observation of unilateral dual channel spinal endoscopy for the treatment of lumbar disc herniation
单侧双通道脊柱内镜治疗腰椎间盘突出的临床观察

摘要

目的 观察腰椎间盘突出采用单侧双通道脊柱内镜治疗的临床效果。方法 采用2021年9月-2022年9月我院收治的30例腰椎间盘突出患者，随机分为对照组15例实行传统开放手术治疗，观察组15例实行单侧双通道脊柱内镜治疗，对两组临床相关性指标，患者疼痛程度、功能障碍恢复情况及临床满意度进行评估比较。结果 与对照组相较，观察组手术时长更长，而出血量、引流量更低，切口长度更短，住院时间更短，术后疼痛程度更低，功能障碍恢复情况更优，临床满意度明显更高，差异均有统计学意义（P＜0.05）。结论 腰椎间盘突出采用单侧双通道脊柱内镜治疗临床效果较佳，改善临床相关性指标，降低患者疼痛程度，促进功能障碍恢复，具有较高的治疗安全性，提高临床满意度，值得推广及应用。

Abstract

Objective To observe the clinical effect of unilateral two-channel spinal endoscopy for lumbar disc herniation.
Methods A total of 30 patients with lumbar disc herniation admitted to our hospital from September 2021 to September 2022 were randomly divided into control group (15 patients receiving traditional open surgery) and observation group (15 patients receiving unilateral double-channel spinal endoscopy). Clinical correlation indicators, pain degree, recovery of dysfunction and clinical satisfaction of the two groups were evaluated and compared.
Results Compared with the control group, the operation duration in the observation group was longer, the bleeding volume and drainage volume were lower, the incision length was shorter, the hospital stay was shorter, the degree of postoperative pain was lower, the recovery of dysfunction was better, and the clinical satisfaction was significantly higher, with statistical significance (P < 0.05).
Conclusion   Unilateral dual-channel spinal endoscopy for lumbar disc herniation has good clinical effect, improves clinical correlation indicators, reduces pain degree of patients, promotes recovery of dysfunction, has high treatment safety, improves clinical satisfaction, and is worthy of promotion and application.