ZHONGHUA YANGSHENG BAOJIAN ›› 2024, Vol. 42 ›› Issue (18): 180-183.

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Comparative Analysis of Clinical Efficacy Between Single Hole Split Endoscopy and Unilateral Dual Channel Endoscopy in the Treatment of Lumbar Disc Herniation

XUE Hao1, LI An-lei2, ZHU Cheng-yue3, LIU Cheng-zhou4, ZHU Teng-yue5,*   

  1. 1. Department of Spine Surgery, Juye County People's Hospital of Shandong Province, Heze Shandong 274900, China;
    2. Department of Osteology, Dongming People's Hospital of Shandong Province, Heze Shandong 274900, China;
    3. Spinal Minimally Invasive Center, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou Zhejiang 310016, China;
    4. Department of Spinal Department, People's Hospital of Linqu County, Weifang Shandong 262600, China;
    5. Sixth Medical Center, PLA General Hospital, Beijing 100048, China
  • Online:2024-09-16 Published:2024-09-04

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Abstract: Objective To compare the early clinical efficacy of single hole split endoscopy (OSE) and unilateral dual channel endoscopy (UBE) in the treatment of lumbar disc herniation (LDH). Methods A retrospective analysis was conducted on 54 LDH patients admitted to Juye County People's Hospital、Hangzhou Traditional Chinese Medicine Hospital and Dongming County People's Hospital from August 2021 to September 2022, who met the selection criteria. Among them, 26 cases were treated with OSE surgery (OSE group) and 28 cases were treated with UBE surgery (UBE group). The surgical time, intraoperative bleeding, pain, postoperative hospital stay, and recovery rate between two groups were evaluated and compared. Results All patients successfully completed the surgery, and there was no statistically significant difference in intraoperative bleeding, surgical time, incision length, and postoperative hospital stay between the OSE group and the UBE group (P>0.05). The follow-up results of two groups of patients at 3, 6, and 12 months after surgery were observed and compared, there was no statistically significant difference in VAS and ODI for lower back and leg pain between the two groups (P>0.05). However, over time, the VAS and ODI scores for lower back and leg pain within the group significantly decreased, and the differences at each time point were statistically significant (P<0.05). No complications such as dural sac tear or nerve root injury occurred during surgery in the UBE group; One case of superficial infection of the incision occurred during surgery in the OSE group. Conclusion There is no significant difference between OSE and UBE in terms of intraoperative blood loss, surgical time, incision length, and postoperative hospital stay in the treatment of lumbar disc herniation, and both can effectively improve lumbar spine function.

Key words: single hole split endoscopy, unilateral dual channel endoscopy, lumbar disc herniation, clinical efficacy

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