| Objective To observe the clinical effect of unilateral biportal endoscopy (UBE) in the treatment of lumbar disc herniation.Methods From January 2021 to January 2022, 62 patients with lumbar disc herniation who needed surgical treatment in the Department of Orthopedics and Traumatology of Jingmen Hospital of Traditional Chinese Medicine were analyzed. They were randomly divided into study group (31 cases) and control group (31 cases). Then, the study group was treated with unilateral biportal endoscopy, while the control group was treated with traditional open approach spinal instrumentation. The VAS scores and ODI scores of low back and leg pains before and after operation; the operation time, intraoperative blood loss, postoperative ambulation time, hospital stay and postoperative complications of the two groups were recorded respectively, and the efficacy rate was evaluated at the final follow-up after operation.Results The VAS scores and ODI scores of low back and leg pains of the two groups on the 3rd day, 30th day and the day of final follow-up after the operation were significantly lower than those before the operation, which was of statistical significance (P<0.05). The intraoperative blood loss, postoperative ambulation time and hospital stay of the study group were less than those of the control group, and the difference was of statistical significance (P<0.05). There was no statistically significant difference in surgical time between the two groups (P>0.05). Both the two groups of patients did not change the operation mode in the process of operation, there were no serious complications such as cerebrospinal fluid leakage, incision infection, and neurovascular injury were present after operation, and no secondary operation was performed. Comparison of effective rate of two groups of patients evaluated by modified Macnab standard at the last follow-up, and the difference was of no statistical significance (P>0.05).Conclusion The unilateral biportal endoscopy has accurate clinical effect in the treatment of lumbar disc herniation. Compared with traditional open approach spinal instrumentation, UBE technology has the characteristics of less trauma, rapid recovery, clear visual field, complete decompression and gentle learning curve. Therefore, it is worthy of clinical promotion and application. |
