Therapeutic Effects of UBE Nucleus Pulposus Removal and Microscopic Nucleus Pulposus Removal on Patients with Lumbar Intervertebral Disc Protrusion

YIN Xiaofeng; GUAN Yiyun

doi:10.14033/j.cnki.cfmr.2025.28.019

Abstract：Objective:To explore the therapeutic effects of unilateral dual-channel endoscopic(UBE)nucleus pulposus removal and microscopic nucleus pulposus removal in patients with lumbar intervertebral disc protrusion.Method:A total of 90 patients with lumbar disc herniation admitted to the Second Hospital of Longyan City from July 2023 to July 2024 were selected.They were divided into two groups according to the treatment.The data were divided into two groups according to different treatment regimens,with 45 patients in each group.Among them,the control group and the observation group received microscopic nucleus pulposus removal treatment and UBE nucleus pulposus removal treatment respectively.The degree of low back pain[Visual Analogue Scale(VAS)for Pain]and limb function[Oswestry Disability Index(ODI)]of the two groups before the operation and 3 months,1 month,and 3 months after the operation were compared.The surgery-related indicators and the total clinical effective rate of the two groups were statistically analyzed.Result:Compared with the control group,the various surgery-related indicators in the observation group were more ideal.In terms of the comparison of VAS scores and ODI values 3 days,1 month and 3 months after the operation,the observation group was lower than the control group(P<0.05).The comparison of the total clinical effective rate showed no difference between the two groups(P>0.05).Conclusion:Both UBE nucleus pulposus removal and microscopic nucleus pulposus removal can achieve good therapeutic effects in patients with lumbar intervertebral disc protrusion.However,UBE nucleus pulposus removal has the advantages of shorter operation time,less intraoperative blood loss,shorter incision length,faster postoperative recovery,lower pain degree,and better recovery of limb function.