微创医学

目的探讨经皮椎间孔镜BEIS技术治疗L4/5极外侧型腰椎间盘突出症（FLLDH）的近期疗效。方法回顾性分析采用椎间孔镜BEIS技术治疗的30例L4/5 FLLDH患者的临床资料。记录患者的手术切口长度、手术时间、术中出血量、下床时间、住院时间；采用VAS评分评估手术前后腰腿部疼痛情况，Oswestry 功能障碍指数（ODI）评估患者手术后腰腿部功能恢复程度。结果30例患者均成功完成手术。手术切口长度（1.52±0.45）cm，手术时间（92.34±16.15）min，术中出血量（51.30±10.80）mL，下床时间（4.45±0.85）d，住院时间（6.21±2.26）d。术后 3 d、1周、1个月、3个月、6个月的腰部、腿部VAS评分和ODI均明显低于术前（均P＜0.05）。结论经皮椎间孔镜BEIS技术治疗L4/5 FLLDH的近期疗效显著，患者创伤小、恢复快。

ObjectiveTo explore the short-term efficacy of percutaneous transforaminal endoscopic BEIS technique in the treatment of L4/5 far lateral lumbar disc herniation (FLLDH). MethodsThe clinical data of 30 patients with L4/5 FLLDH treated with intervertebral foraminal endoscopic BEIS technique were retrospectively analyzed. The length of surgical incision, operation time, intraoperative blood loss, out of bed time and hospital stays of patients were recorded. The VAS score was used to evaluate the pain of lumbar and leg, and the Oswestry Disability Index (ODI) was used to evaluate the functional recovery of lumbar and leg before and after operation. ResultsThe operations completed successfully in all patients. The surgical incision length was (1.52±0.45) cm, the operative time was (92.34±16.15) min, the intraoperative blood loss was (51.30±10.80) mL, out of bed time was (4.45±0.85) d, and the hospital stays were (6.21±2.26) d. The VAS scores of lumbar and leg and ODI at 3 d, 1 week, 1 month, 3 months and 6 months after operation were significantly lower than those before surgery (all P＜0.05). ConclusionPercutaneous transforaminal endoscopic BEIS technique in the treatment of L4/5 FLLDH exhibits significant short-term efficacy, with less trauma and faster recovery.