单侧双门内镜与皮肤内镜间膜疗法的有效性和安全性:腰椎椎间板的元分析 皮肤内镜间膜疗法的有效性和安全性
Yuhao Gao1,2, Fangzheng He1,3, Ji Wen1,2
1Graduate School, Graduate Student Department of Changzhi Medical College, Changzhi, Shanxi 046000, P.R. China.
Experimental and therapeutic medicine
|February 11, 2026
概括
这项元分析比较了腰椎间盘的单侧双门内镜断层切除术 (UBE) 和皮肤内镜间膜断层切除术 (PEID). PEID显示了更短的手术时间和住院时间,而UBE提供了更好的功能恢复.
科学领域:
- 神经外科 神经外科
- 最少侵入性的脊柱手术
- 整形外科 整形外科 整形外科
背景情况:
- 腰椎间盘 (LDH) 是腰部和根部疼痛的常见原因.
- 单侧双门内镜断层切除术 (UBE) 和皮肤内镜层间断层切除术 (PEID) 是常见的LDH的微创手术选择.
- 对UBE与PEID的疗效和安全性进行比较的数据有限且存在争议.
研究的目的:
- 进行一项元分析,比较UBE和PEID在治疗单级LDH时的疗效和安全性.
- 评估关键的外科结果,包括手术时间,血液损失,疼痛评分,功能恢复和并发症率.
主要方法:
- 在主要数据库 (Web of Science,PubMed,Embase,Cochrane Library) 进行了系统的文献搜索,截至2025年6月10日.
- 包括10项涉及1003名单一水平LDH患者的比较研究.
- 使用纽卡斯尔-太华尺度评估了研究质量,并提取了手术时间,血液损失,VAS,ODI,MacNab标准和并发症的数据.
主要成果:
- PEID与明显缩短的手术时间 (MD=7.82分钟),减少的血液损失 (MD=25.5毫升) 和更短的住院时间 (MD=0.56天) 相关.
- 在手术后的1个月和6个月,UBE在奥斯韦斯特里残疾指数 (ODI) 得分中表现出了卓越的改善.
- 在视觉模拟尺度 (VAS) 疼痛评分,MacNab优秀/良好率,光镜频率或两种技术之间的整体并发症率方面没有发现显著差异.
结论:
- UBE提供了增强的可视化,仪器机动性和改进的术后功能恢复.
- PEID提供了更短的手术时间,减少血液损失和减少住院时间的好处.
- 在LDH治疗中,UBE和PEID之间的选择应该是个性化的,考虑患者因素,外科医生的专业知识,以及这些手术结果之间的权衡.
相关概念视频
Endoscopic Procedures III: Video Capsule Endoscopy
903
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
903
Survey Safety
418
Surveying near highways, rough terrain, or power lines involves significant risks. Working along highways is particularly dangerous and requires the use of warning signs and flagmen. It is safest to avoid working directly on roads and use offsets whenever possible. When highway work is unavoidable, it must follow all safety guidelines. Surveyors should wear bright clothing, such as orange reflective vests, to ensure visibility to motorists, coworkers, and hunters. In construction zones, wearing...
418
Self-Efficacy
237
Self-efficacy is the belief in one's capacity to organize and execute actions necessary to manage prospective situations. This belief significantly influences how individuals approach goals, tasks, and challenges across different domains of life.Psychological and Educational ImpactsIndividuals with strong self-efficacy are more resilient in the face of difficulties. They are more likely to adopt effective problem-solving strategies, persist through obstacles, and regulate emotions such as...
237
Directing Effect of Substituents: meta-Directing Groups
6.0K
Substituents on the benzene ring that direct an incoming electrophile to undergo substitution at the meta position are called meta directors. All meta directors either have a positive charge on the atom directly bonded to the ring or a partial positive charge. These groups function by withdrawing electrons from the ring through inductive and resonance effects. Consider the carbocation intermediates formed upon the addition of an electrophile on nitrobenzene at the...
6.0K
Household Wiring And Electrical Safety
1.7K
Companies that supply power to most modern households use three conductors, typically called a three-wire line. While one is neutral, the other two are both at 120 V but with opposite polarity, giving a voltage of 240 V between them. With a three-wire line, high-power appliances that require 240 V, such as electric stoves and clothes dryers, are linked between the two hot lines. 120 V appliances can be connected between the neutral and either of the hot lines. The neutral side, which is always...
1.7K
Endoscopic Studies II: Thoracocentesis
1.5K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.5K


