Abstract: Objective To compare the short-term clinical effects of unilateral dual-channel endoscopic discectomy (UBED) and percutaneous endoscopic intervertebral discectomy (PEID) in the treatment of L₅S₁ Lumbar disc herniation,LDH.Methods From January 2019 to January 2021,a total of 57 cases of L₅S₁ LDH treated by UBED or PEID were analyzed retrospectively,including 30 cases in UBED group and 27 cases in PEID group.The operation time,intraoperative fluoroscopy times,postoperative hospitalization days and surgical complications were compared between the two groups.The visual analogue scale (VAS) and oswestry disability index (ODI) were used to compare the postoperative quality of life of the two groups,and the modified MacNab criteria was used to evaluate the clinical efficacy in the last follow-up.Results The operation time of UBED group and PEID group was (75.30±8.44) minutes and (68.37±4.63) minutes, respectively, and the difference between the two groups was statistically significant (P<0.05).VAS and ODI of 1 week, 3 months, 1 year and 1.5 years after surgery in 2 groups were significantly decreased compared with those before surgery, with statistical significance (P<0.05).The VAS score of low back pain in UBED group was higher than that in PEID group [(3.87±1.14) points vs (2.70±0.67) points] at 1 week after surgery (P<0.05), and there was no significant difference in VAS and ODI at the other time points (P>0.05).There was no statistical difference in the results of modified MacNab criteria in the last follow-up (P>0.05).There were 2 cases of dural tear in PEID group,1 case of dural tear in UBED group and 1 case of temporary nerve root injury in PEID group after operation,all of which were cured after symptomatic treatment.Conclusion Compared with PEID,UBED has a longer operation time,more trauma and more obvious low back pain in the short term after operation.The short-term curative effect of the two operations on L₅S₁LDH is similar,the incidence of complications is low,and the times of fluoroscopy are few.Both operations are safe and effective.

Key words: lumbar disc herniation；unilateral biportal endoscopic discectomy；percutaneous endoscopic interlaminar discectomy