【摘要】 目的 对比单侧双通道内镜技术（UBE）和单通道经椎间孔镜下椎间盘切除术（PELD）治疗腰椎间盘突出症（LDH的效果。方法 94例LDH患者按手术方式分为双通道组（UBE）和参考组（PELD），比较两组的手术效果。结果 与参考组相比，双通道组的手术时间、切口长度、术后住院时间较长，X线透视次数较少，术中失血量较高（P <0.05）。两组的VAS评分、 ODI指数、手术优良率、术后并发症发生率对比，差异无统计学意义（P>0.05）。结论 UBE治疗LDH的效果、安全性与PELD相当。更多还原

【Abstract】 Objective To compare the effects of unilateral bi-channel endoscopic technique(UBE) and single-channel percutaneous endoscopic lumbar discectomy(PELD) in the treatment of lumbar disc herniation(LDH). Methods 94 patients with LDH were divided into the bi-channel group(UBE) and the reference group(PELD) according to the surgical methods, and the surgical effects of the two groups were compared. Results Compared with the reference group, the bi-channel group had longer surgical time, incision length and postoperative hospitalization time, fewer X-ray fluoroscopy times, and higher intraoperative blood loss amount(P <0.05). No significant difference was found in the VAS score, ODI index, excellence and good rate of surgery, and incidence of postoperative complications between the two groups(P >0.05). Conclusions UBE and PELD show comparable efficacy and safety in the treatment of LDH.更多还原