| 李武,文盼盼,吕超,等.UBE与Delta大通道内镜下髓核摘除术治疗单节段腰椎间盘突出症的疗效对比.骨科,2026,17(5): 427-432. |
| UBE与Delta大通道内镜下髓核摘除术治疗单节段腰椎间盘突出症的疗效对比 |
| A comparison study on the effectiveness of UBE versus Delta large-channel endoscopic discectomy for treating single-level lumbar disc herniation |
| 投稿时间：2025-12-24 |
| DOI：10.3969/j.issn.1674-8573.2026.05.004 |
| 中文关键词: 腰椎间盘突出症 单侧双通道内镜 Delta大通道 经椎板间入路髓核摘除术 |
| 英文关键词: Lumbardisc herniation Unilateral biportal endoscopic Deltalarge-channel Translaminar discectomy |
| 基金项目:荆门市科学技术研究与开发计划项目（2025YDKY145） |
| 作者 | 单位 | E-mail | | 李武 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | | | 文盼盼 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | | | 吕超 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | doctorlvchao@126.com | | 吴小松 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | | | 叶正云 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | | | 陈兴银 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | | | 倪鹏辉 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | | | 龚超 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | | | 赵家敏 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | | | 姜梦莹 | 荆门市中心医院（荆楚理工学院附属荆门市中心医院）脊柱外科,湖北荆门 448000 | |
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| 中文摘要: |
| 目的 探讨单侧双通道脊柱内镜（UBE）下髓核摘除术与Delta大通道内镜下髓核摘除术治疗单节段腰椎间盘突出症（LDH）的临床疗效，对比两种术式的应用价值。方法 采用回顾性分析方法，选取我科2023年8月至2025年4月收治的80例单节段LDH患者为研究对象，依据手术方式的不同分为UBE组与Delta组。其中UBE组44例，男25例，女19例，年龄（56.93±11.98）岁；Delta组36例，男22例，女14例，年龄（53.53±12.45）岁。对比两组患者的手术时间、术中透视次数、术中出血量、住院花费，同时评估术后1周、1个月、3个月、6个月腰部与腿部疼痛视觉模拟量表（VAS）评分、Oswestry功能障碍指数（ODI）及术后并发症发生情况。结果 UBE组患者手术时间短于Delta组[（73.25±14.59） min vs. （80.11±16.12） min]，住院费用高于Delta组[（20 336.05±2 650.71）元 vs. （18 940.97±2 307.93）元]，差异均有统计学意义（P<0.05）；两组术中透视次数、术中出血量及术后并发症发生率对比，差异无统计学意义（P>0.05）。两组患者术后腰部、腿部VAS评分及ODI均较术前显著改善，差异有统计学意义（P<0.05）；两组术后各随访时间点的VAS评分与ODI组间对比，差异无统计学意义（P>0.05）。结论 UBE与Delta大通道内镜下髓核摘除术均可有效治疗单节段LDH，显著缓解患者腰腿疼痛并改善腰椎功能。临床可根据术者操作习惯及患者椎间盘突出情况个体化选择手术方案，以期获得满意的临床疗效。 |
| 英文摘要: |
| Objective To compare the clinical efficacy of unilateral biportal endoscopic (UBE) nucleotomy and Delta large-channel endoscopic nucleotomy for single-level lumbar disc herniation (LDH). Methods A retrospective analysis was conducted on 80 patients diagnosed with single-level LDH who underwent surgical treatment between August 2023 and April 2025. Patients were stratified into the UBE group [44 cases, 25 males and 19 females, aged (56.93±11.98) years] and the Delta group [36 cases, 22 males and 14 females, aged (53.53±12.45) years]. Perioperative indicators including operative time, intraoperative fluoroscopy times, intraoperative blood loss and hospitalization costs were compared. Postoperative lumbocrural pain visual analogue scale (VAS) scores, Oswestry Disability Index (ODI) at 1 week, 1 month, 3 months and 6 months, and surgical complications were also evaluated. Results The UBE group had shorter operative time [(73.25±14.59) min vs. (80.11±16.12) min] and higher hospitalization costs [(20 336.05±2 650.71) yuan vs. (18 940.97±2 307.93) yuan], with statistically significant differences (P<0.05). No significant differences were found in intraoperative fluoroscopy times, intraoperative blood loss or complication rates between the two groups (P>0.05). Both groups exhibited substantial improvements in postoperative VAS scores and ODI compared with preoperative baseline values (P<0.05), whereas no intergroup differences were detected at any postoperative follow-up time point (P>0.05). Conclusion Both UBE and Delta large-channel endoscopic nucleotomy achieve satisfactory clinical outcomes for single-level LDH, effectively alleviating lumbocrural pain and restoring lumbar function. Individualized surgical selection based on surgeon experience and patient pathological characteristics is conducive to optimizing therapeutic effects. |
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