Department of Minimally Invasive Spine Surgery, Panyu Hospital of Chinese Medicine, Guangzhou, China.
Minim Invasive Ther Allied Technol. 2024 Feb;33(1):43-50. doi: 10.1080/13645706.2023.2278059. Epub 2024 Feb 2.
This study aimed to compare early efficacy of UBED and PEID in the treatment of L5/S1 IDH.
Forty-two patients who underwent surgical treatment for L5/S1 IDH were divided into two groups: UBED and PEID. Operation time, complications, VAS/ODI score were recorded. MacNab evaluation was completed one and three months postoperatively.
All patients were successfully operated without infection, nerve injury, or huge hematoma in the spinal canal. There were no significant differences in operation time and hospitalization days between the two groups ( > 0.05). All patients were followed up after the operation and low back/leg pain was significantly reduced. VAS for low back pain, VAS for leg pain, ODI scores in both groups one and three months after the operation were significantly lower than pre-operation ( < 0.05). There were no significant differences between one and three months after the operation in both groups ( > 0.05). There were no significant differences in VAS for low back pain, leg pain, ODI score, and overall efficacy between the two groups one and three months post-operation ( > 0.05).
UBED and PEID have very good early efficacy in treating L5/S1 IDH. Because UBED has a wider vision field and more flexible operation, it can be used as a useful complement to PEID.
本研究旨在比较 UBED 和 PEID 在治疗 L5/S1 IDH 方面的早期疗效。
将 42 例接受手术治疗的 L5/S1 IDH 患者分为 UBED 和 PEID 两组。记录手术时间、并发症、VAS/ODI 评分。术后 1 个月和 3 个月完成 MacNab 评估。
所有患者均成功手术，无感染、神经损伤或椎管内巨大血肿。两组手术时间和住院天数无显著差异（>0.05）。所有患者术后均随访，腰痛和腿痛明显减轻。术后 1 个月和 3 个月两组 VAS 腰痛、VAS 腿痛、ODI 评分均明显低于术前（<0.05）。两组术后 1 个月和 3 个月 VAS 腰痛、腿痛、ODI 评分、总有效率均无显著差异（>0.05）。
UBED 和 PEID 在治疗 L5/S1 IDH 方面具有非常好的早期疗效。由于 UBED 具有更宽的视野和更灵活的操作，可作为 PEID 的有益补充。
