两种术式治疗脱出游离型腰椎间盘突出症伴腰椎不稳的比较

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Abstract Objective To compare the shortterm efficacy of unilateral biportal endoscopy(UBE)and minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF)in the treatment of prolapsed lumbar disc herniation with lumbar instability.Methods A study of 46 patients with prolapsed lumbar intervertebral disc herniation and lumbar instability who were admitted to the department of orthopedics spine of Northern Jiangsu People's Hospital from July 2019 to September 2021 was retrospectively analyzed.According to the surgical methods，they were divided into UBE group and MIS-TLIF group.There were 22 patients in UBE group，including 10 males and 12 females.The patients aged 37~71 years，with an average age of (67.6±9.2)years.There were 24 patients in MISTLIF group，including 11 males and 13 females.The patients aged 52 to 75 years，with an average age of (66.7±8.6)years.The operation time，incision length，postoperative drainage volume，length of hospital stay，visual analogue scale(VAS)，oswestry disability index(ODI)，modified MacNab criteria，fusion rate and complications were compared between the two groups.Results Compared to the MIS-TLIF group，the operation time of the UBE group was longer，but the postoperative drainage volume was less than that of the MISTLIF group，the hospital stay was shorter，and the surgical incision was smaller.The difference was statistically significant.In terms of surgical efficacy，the VAS scores of UBE patients at the 2 week，1 month，and 3 month follow-up were lower than those of the MIS-TLIF group，and the differences between the two groups were statistically significant，especially at 3 months after surgery.Also，there were no statistically significant differences between the two groups at the 6 month and 12 month follow-up.There were statistically significant differences between the two groups in ODI score at the 2 week and 1 month follow-up and patients in the UBE group presented with lower scores.There were no statistically significant differences between the two groups at the 3 month，6 month and 12 month follow-up.At the 6 month follow up after surgery，there were no statistically significant differences between the two groups in terms of the excellent and good rate and the fusion rate.Conclusion Unilateral biportal endoscopy for the treatment of prolapsed lumbar disc herniation with lumbar instability allows for smaller surgical incisions，relief of patient pain in the early postoperative period，and its operational flexibility and open field of view are worth promoting clinically.

Key words： unilateral biportal endoscopy lumbar interbody fusion lumbar disc herniation lumbar instability minimally invasive

Corresponding Authors: Cai Jun

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	Ma Zijian
	Ma Mingling
	Wang Yongxiang
	Feng Xinmin
	Dong Hui
	Cai Jun

Cite this article:

Ma Zijian,Ma Mingling,Wang Yongxiang, et al. Comparison of Two Surgical Approaches in the Treatment of Prolapsed Lumbar Disc Herniation with Lumbar Instability[J]. sygkzz, 2022, 28(12): 1057-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I12/1057

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[1]	. [J]. sygkzz, 2022, 28(6): 556-560.