Volume 24 Issue 6
Jun.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(6): 953-956
WANG Wei, ZHANG Liwei, YUAN Chiting, FAN Shaohua, HONG Dun. The comparison of the effects of UBE and PTED on intervertebral space height and lumbar function in patients with DLSS[J]. Chinese Journal of General Practice, 2026, 24(6): 953-956. doi: 10.16766/j.cnki.issn.1674-4152.004529
Citation: WANG Wei, ZHANG Liwei, YUAN Chiting, FAN Shaohua, HONG Dun. The comparison of the effects of UBE and PTED on intervertebral space height and lumbar function in patients with DLSS[J]. Chinese Journal of General Practice, 2026, 24(6): 953-956. doi: 10.16766/j.cnki.issn.1674-4152.004529
shu

The comparison of the effects of UBE and PTED on intervertebral space height and lumbar function in patients with DLSS

doi: 10.16766/j.cnki.issn.1674-4152.004529

  • Department of Orthopedics, Taizhou Hospital of Zhejiang Province, Linhai, Zhejiang 317000, China

Funds:

 LTGY24H250001

  • Received Date: 2025-09-01
    Available Online: 2026-11-10
    Abstract
  •   Objective  To compare the efficacy of unilateral biportal endoscopic (UBE) and percutaneous transforaminal endoscopic discectomy (PTED) in the treatment of degenerative lumbar spinal stenosis (DLSS), and to provide evidence for optimizing the selection of minimally invasive surgical techniques.  Methods  A total of 70 patients with DLSS from May 2023 to December 2024 treated at Taizhou Hospital of Zhejiang Province were retrospectively included and divided into a study group (n=36, UBE) and a control group (n=34, PTED) according to the surgical methods. The general surgical conditions, VAS scores, Oswestry disability index (ODI) scores, intervertebral space height, multi-fissure muscle area, and depth of fat infiltration were compared between the two groups. Postoperative complications were also observed and compared.  Results  Compared with the control group, the study group had a shorter operative time, less intraoperative blood loss, a greater increase in dural sac area, and higher hospitalization cost (P < 0.05). The VAS scores in the study group were significantly higher than those in the group at 1 week, 1 month, 3 months, and 6 months after the surgery (P < 0.05). The study group also had higher ODI scores at 3 and 6 months postoperatively (P < 0.05). At 6 months after surgery, intervertebral space height was significantly higher in the study group than in the control group (P < 0.05), and the excellent--good rate was significantly higher [91.66% (33/36) vs. 73.53% (25/34), P < 0.05]. At 3 months postoperatively, the study group had a smaller area of the decompressed-side and contralateral multifidus muscles, as well as a greater depth of fat infiltration in the multifidus muscles, compared with the control group (P < 0.05). There was no significant difference in the incidence of complications between the two groups [5.56% (2/36) vs. 5.88% (2/34), P>0.05].  Conclusion  UBE offers advantages in terms of shorter operation time, reduced intraoperative blood loss, better preservation of intervertebral space height, and a superior decompression effect, whereas PTED demonstrates advantages in postoperative pain relief, preservation of the multifidus muscles, and recovery of lumbar function. Both techniques are safe and effective, and the selection of the surgical approach should be individualized based on the specific anatomical conditions, lesion characteristics, and treatment objectives.

     

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    • References(18)
  • [1]
    GADJRADJ P S, BASILIOUS M, GOLDBERG J L, et al. Decompression alone versus decompression with fusion in patients with lumbar spinal stenosis with degenerative spondylolisthesis: a systematic review and meta-analysis[J]. Eur Spine J, 2023, 32(3): 1054-1067. doi: 10.1007/s00586-022-07507-1
    [2]
    廖喜, 周德勇, 王冰, 等. MIS-TLIF结合经皮椎弓根螺钉内固定治疗双节段腰椎管狭窄症的中远期疗效[J]. 中国医师杂志, 2024, 26(6): 900-902.

    Liao X, Zhou D Y, Wang B, et al. The mid-to-long-term efficacy of MIS-TLIF combined with percutaneous pedicle screw internal fixation in the treatment of double-segment lumbar spinal stenosis[J]. Journal of Chinese Physician, 2024, 26(6): 900-902.
    [3]
    刘树坤, 陈昊, 丁益, 等. 微创经椎间孔腰椎椎间融合术与内镜下腰椎椎间融合术治疗腰椎退行性疾病的临床疗效[J]. 中国临床研究, 2024, 37(5): 694-698.

    Liu S K, Chen H, Ding Y, et al. Clinical efficacy of minimally invasive transforaminal lumbar interbody fusion and endoscopic lumbar interbody fusion in the treatment of lumbar degenerative diseases[J]. Chinese Journal of Clinical Research, 2024, 37(5): 694-698.
    [4]
    ZHANG Z Q, YANG J D, HUANG Z, et al. Clinical efficacy of biportal versus uniportal endoscopic discectomy for far lateral lumbar disc herniation: a retrospective study analysis[J]. World Neurosurg, 2025, 197: 123788. DOI: 10.1016/j.wneu.2025.123788.
    [5]
    CHU P L, WANG T, ZHENG J L, et al. Global and current research trends of unilateral biportal endoscopy/biportal endoscopic spinal surgery in the treatment of lumbar degenerative diseases: a bibliometric and visualization study[J]. Orthop Surg, 2022, 14(4): 635-643. doi: 10.1111/os.13216
    [6]
    李亚坤, 何李明, 冯皓宇. 内镜下单侧椎板切开双侧减压技术治疗脊柱退行性疾病的研究进展[J]. 河北医药, 2024, 46(9): 1403-1406, 1411.

    Li Y K, He L M, Feng H Y. Research progress of endoscopic unilateral laminectomy for bilateral decompression in the treatment of spinal degenerative diseases[J]. Hebei Medical Journal, 2024, 46(9): 1403-1406, 1411.
    [7]
    芦怀旺, 田霖, 胡鹏, 等. 单侧双通道内镜治疗单责任节段腰椎管狭窄症的短期临床疗效分析[J]. 中华全科医学, 2023, 21(3): 413-416. doi: 10.16766/j.cnki.issn.1674-4152.002896

    Lu H W, Tian L, Hu P, et al. Short-term clinical effect analysis of unilateral biportal endoscopic surgery for of single responsible segment lumbar spinal stenosis[J]. Chinese Journal of General Practice, 2023, 21(3): 413-416. doi: 10.16766/j.cnki.issn.1674-4152.002896
    [8]
    冯胜凯, 赵广辉, 徐启飞. 轻中度腰椎滑脱症UBE-TLIF与MIS-TLIF对比[J]. 中国矫形外科杂志, 2024, 32(24): 2221-2227.

    Feng S K, Zhao G H, Xu Q F. UBE-TLIF versus MIS-TLIF for mild to moderate lumbar spondylolisthesis[J]. Orthopedic Journal of China, 2024, 32(24): 2221-2227.
    [9]
    张玉红, 冯波, 苏炜良, 等. 单侧双通道脊柱内镜技术椎管减压术治疗双节段腰椎管狭窄症的早期临床疗效[J]. 中国修复重建外科杂志, 2023, 37(6): 706-712.

    Zhang Y H, Feng B, Su W L, et al. Early clinical efficacy of unilateral dual-channel spinal endoscopy technique for spinal canal decompression in the treatment of double-segment lumbar spinal stenosis[J]. Chinese Journal of Reparative and Reconstructive Surgery, 2023, 37(6): 706-712.
    [10]
    DING H T, HAN X, XING Y G, et al. Clinical and radiological comparison of unilateral biportal endoscopic and percutaneous transforaminal endoscopic discectomy in the treatment of lumbar spinal degenerative disease[J]. Orthop Surg, 2025, 17(4): 1105-1113. doi: 10.1111/os.14361
    [11]
    SELLIER A, LECHANOINE F, LONJON G, et al. How to begin unilateral biportal endoscopy (UBE) for segmental lumbar degenerative disease: a step-by-step guide to perfect patient positioning and surgical approach, avoiding common pitfalls[J]. Neurosurg Rev, 2024, 47(1): 593. DOI: 10.1007/s10143-024-02674-9.
    [12]
    WEN M H, LI X, LU X J, et al. Short-term efficacy of unilateral biportal endoscopy technology in the treatment of cervical spondylotic radiculopathy[J]. Eur Spine J, 2025, 34(1): 118-127. doi: 10.1007/s00586-024-08545-7
    [13]
    罗绍坚, 谭荣雄, 李健, 等. 单侧双通道内镜与微创通道在腰椎椎体间融合术中的应用比较[J]. 临床骨科杂志, 2024, 27(5): 647-652.

    Luo S J, Tan R X, Li J, et al. Efficacy comparison of unilateral biportal endoscopic and minimally invasive channel in the lumbar interbody fusion[J]. Journal of Clinical Orthopedics, 2024, 27(5): 647-652.
    [14]
    孟凡志, 代相鹏, 于医波, 等. 经椎间孔镜与单侧双通道镜治疗老年腰椎椎管狭窄症[J]. 中国矫形外科杂志, 2024, 32(6): 493-499.

    Meng F Z, Dai X P, Yu Y B, et al. Percutaneous transforaminal endoscopy versus unilateral biportal endoscopy for lumbar spinal stenosis in elderly[J]. Orthopedic Journal of China, 2024, 32(6): 493-499.
    [15]
    杨康, 彭帅, 常磊, 等. 单侧双通道内镜腰椎融合术与微创经椎间孔入路腰椎融合术治疗单节段腰椎退行性疾病对比观察[J]. 山东医药, 2023, 63(8): 71-74.

    Yang K, Peng S, Chang L, et al. Comparison and observation of unilateral dual-channel endoscopic lumbar fusion surgery and minimally invasive transforaminal lumbar fusion surgery in the treatment of single-segment lumbar degenerative diseases[J]. Shandong Medical Journal, 2023, 63(8): 71-74.
    [16]
    郑浩, 杨广杰, 周炳康, 等. 单侧双通道内镜下单侧入路双侧减压术治疗双节段腰椎管狭窄的早期临床疗效研究[J]. 颈腰痛杂志, 2024, 45(3): 431-435.

    Zheng H, Yang G J, Zhou B K, et al. Early clinical efficacy of unilateral biportal endoscopic unilateral laminotomy for bilateral decompression in the treatment of two-level lumbar spinal stenosis[J]. The Journal of Cervicodynia and Lumbodynia, 2024, 45(3): 431-435.
    [17]
    王前亮, 张钱中逸, 彭煜健, 等. 单侧双通道内镜下腰椎椎体间融合对椎旁肌肉的影响[J]. 中国组织工程研究, 2025, 29(27): 5862-5868.

    Wang Q L, Zhang Q Z Y, Peng Y J, et al. Effects of unilateral biportal endoscopic transforaminal lumbar interbody fusion on paraspinal muscles[J]. Chinese Journal of Tissue Engineering Research, 2025, 29(27): 5862-5868.
    [18]
    张晗硕, 丁宇, 蒋强, 等. 脊柱内镜下椎板开窗减压与单侧入路双侧减压治疗腰椎管狭窄症的生物力学稳定性及有限元分析[J]. 中国组织工程研究, 2023, 27(13): 1981-1986.

    Zhang H S, Ding Y, Jiang Q, et al. Biomechanical stability and finite element analysis of endoscopic decompression technique and endoscopic unilateral laminotomy for bilateral decompression technique for lumbar spinal stenosis[J]. Chinese Journal of Tissue Engineering Research, 2023, 27(13): 1981-1986.
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