摘要
目的 分析在腰椎间盘突出症患者的临床治疗中应用AUSS（关节镜辅助单切口脊柱手术）对比UBE（单边双通道内镜下的脊柱手术）的治疗效果。方法 回顾性收集且分析我院2022年1-12月内于本院接受了UBE治疗的25例腰椎间盘突出症患者资料，将其设置为对照组，再回顾性收集且分析我院2023年1-12月内于本院接受了AUSS治疗的25例腰椎间盘突出症患者资料，将其设置为观察组，对比两组患者手术信息、预后进程、术后腰椎康复效果。结果 观察组手术信息优于对照组，预后进程优于对照组，对比有统计学意义（P﹤0.05）。在术后腰椎康复效果上，观察组疼痛评分更低、腰椎活动度恢复更佳、ODI功能障碍评分更低，指标对比有统计学意义（P﹤0.05）。结论 AUSS技术相较UBE治疗更具优势，患者术时更短、出血量更低，且预后进程更快，腰椎功能恢复更早，临床可推广该项术式，为腰椎间盘突出症的手术提供更多选择。
关键词： 腰椎间盘突出症；AUSS技术；关节镜辅助单切口脊柱手术；UBE技术；单边双通道内镜下的脊柱手术
Abstract
Objective To analyze the treatment effect of AUSS (joint endoscope-assisted single incision spinal surgery) in patients with lumbar intervertebral disc herniation compared with UBE (single-side dual-channel endoscopic spinal surgery). Methods The clinical data of 25 patients with lumbar intervertebral disc herniation who received UBE treatment at our hospital from January to December 2022 were retrospectively collected and analyzed, and were set as the control group. The clinical data of 25 patients with lumbar intervertebral disc herniation who received AUSS treatment at our hospital from January to December 2023 were retrospectively collected and analyzed, and were set as the observation group. The surgical information, postoperative course, and postoperative lumbar spine rehabilitation effect of the two groups were compared. Results The surgical information of the observation group was better than that of the control group, and the postoperative course was better than that of the control group, with statistical significance (P <0.05). After different treatments, the observation group had lower pain scores, better lumbar spine mobility recovery, and lower ODI functional disability scores, with statistical significance (P <0.05). Conclusion AUSS technology is superior to UBE treatment in terms of shorter operative time, lower blood loss, faster postoperative progression, earlier recovery of lumbar function, and earlier return to work. The clinical application of this procedure can provide more options for patients with lumbar disc herniation.
Key words： Lumbar Disc Herniation; AUSS Technology; Arthroscopic Single-Incision Spinal Surgery with Joint Scope; UBE Technology; Single-Side Double-Channel Endoscopic Spinal Surgery
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