MRPMedical Research and Practice2993-96902993-9704Art and Design10.61369/MRP.2025110011Article单侧双通道内镜技术与经皮椎间孔镜技术治疗腰椎椎体后缘离断症的临床疗效对比分析https://artdesignp.com/journal/MRP/3/11/10.61369/MRP.2025110011杨建澳,刘东东,宇尧20253112025-11-20目的：对单侧双通道内镜技术（UnilateralBiportal    Endoscopy，UBE）与经皮椎间孔镜技术治疗腰椎椎体后缘离断症（Posterior    Rring    Apophyseal    Separation，PRAS）的疗效结果进行分析研究，为治疗PRAS选择手术方案时提供参考。方法：回顾性分析本科自2022年11月-2024年10月收治的35例腰椎椎体后缘离断症患者，根据纳排标准及手术方式的不同，将纳入病例分为UBE组20例和椎间孔镜组15例，收集患者的基本信息、手术时长、术中失血量、切口总长度、住院时长以及所有患者术前与术后腰腿痛视觉模拟量表评分（VisualAnalogueScale，VAS）、Oswestry    功能障碍指数评分（OswestryDisability   Index，ODI），Macnab优良率及并发症等资料，并进行相关分析。结果：两组患者基线资料无显著差异（P＞0.05）。UBE组手术时间、术中出血量优于椎间孔镜组（P＜0.05），而椎间孔镜组在切口长度与住院时间方面更具优势（P＜0.05）。术后早期（1天、7天）UBE组在腰痛VAS、腿痛VAS及ODI评分改善方面显著优于椎间孔镜组（P＜0.05）；术后1个月及6个月随访时，两组间各项评分差异均无统计学意义（P＞0.05）。末次随访Macnab优良率UBE组为90.0%，椎间孔镜组为86.7%，组间差异无统计学意义（P＞0.05）。两组并发症发生率低，均无严重不良事件。结论：UBE与经皮椎间孔镜技术均为治疗PRAS的有效微创术式。UBE在手术效率、早期症状缓解及功能恢复方面表现更优；椎间孔镜则更具微创性，术后康复更快。远期疗效两者相当，临床选择应结合患者病情特点及术者操作经验进行个体化决策。腰椎椎体后缘离断症,单侧双通道内镜,经皮椎间孔镜,微创手术,临床疗效

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