Department of Spinal Surgery, Beijing Jishuitan Hospital, Beijing, PR China.
J Int Med Res. 2023 Aug;51(8):3000605231164006. doi: 10.1177/03000605231164006.
Unilateral biportal endoscopic (UBE) discectomy is a reliable endoscopic technique in the treatment of lumbar disc herniation. However, UBE discectomy involves a single-handed manipulation, which may compromise the utility of the procedure. The present study was performed to examine the efficacy and safety of a novel pin-assisted retraction technique.
This single-center retrospective cohort study involved 57 consecutive patients who underwent UBE lumbar discectomy from July 2021 to May 2022. The patients were randomly divided into the pin-assisted UBE discectomy group (P-UBE group) and the traditional UBE discectomy group (T-UBE group). The patients' perioperative data, clinical outcomes, and radiologic outcomes were collected and compared between the two groups.
The operative time, intraoperative blood loss, endoscopic irrigation volume, and overall complication rate were significantly lower in the P-UBE group than in the T-UBE group. There were no significant differences in the clinical outcome data between the two groups.
P-UBE discectomy may have superior safety and efficacy over the traditional technique, and it has the potential to serve as an optional method in UBE lumbar surgery.
单侧双通道内镜（UBE）椎间盘切除术是治疗腰椎间盘突出症的一种可靠内镜技术。然而，UBE 椎间盘切除术涉及单手操作，这可能会影响手术的实用性。本研究旨在探讨一种新型的针辅助牵开技术的疗效和安全性。
本单中心回顾性队列研究纳入了 2021 年 7 月至 2022 年 5 月期间接受 UBE 腰椎间盘切除术的 57 例连续患者。将患者随机分为针辅助 UBE 椎间盘切除术组（P-UBE 组）和传统 UBE 椎间盘切除术组（T-UBE 组）。收集并比较两组患者的围手术期数据、临床结果和影像学结果。
P-UBE 组的手术时间、术中出血量、内镜冲洗量和总并发症发生率均显著低于 T-UBE 组。两组的临床结果数据无显著差异。
与传统技术相比，P-UBE 椎间盘切除术具有更好的安全性和疗效，有望成为 UBE 腰椎手术的一种可选方法。
