Objective  To compare the clinical efficacy of percutaneous transforaminal endoscopic surgery and traditional fenestration surgery in the treatment of lumbar disc herniation, and to analyze the perioperative nursing strategy.

  Methods  A total of 60 lumbar disc herniation patients were randomly divided into study group and control group, with 30 cases in each group, the study group received transforaminal endoscopic surgery, while the control group used the traditional fenestration operation. The changes of Oswestry function index (ODI) and Visual Analogue Scale (VAS) score in the two groups during operation and at 3 months after operation were observed, and nursing effect was analyzed.

  Results  All the 60 patients had better curative efficacy through timely, effective preoperative and postoperative nursing intervention and their actively cooperation. There were no postoperative complications observed such as cerebrospinal fluid leakage, nerve root injury, pressure ulcer and venous thrombosis of lower extremity; the study group had significantly shorter incision length, and earlier ambulance time than the control group (P < 0.05); ODI score and VAS score at 3 months after surgery in two groups were significantly improved (P < 0.05), but had no significance difference before surgery and at 3 months after surgery (P>0.05).

  Conclusion  Compared with traditional fenestration surgery, transforaminal endoscopic discectomy for lumbar disc herniation has less trauma, earlier postoperative activity time and better recovery.