Effect observation of percutaneous transforaminal endoscopic discectomy on treatment of patients with single-segment lumbar disc herniation

YANG Jia; CAO Hongqiang

doi:10.7619/jcmp.201911023

Journal of Clinical Medicine in Practice > 2019 > 23(11): 83-85, 89. > DOI: 10.7619/jcmp.201911023

YANG Jia, CAO Hongqiang. Effect observation of percutaneous transforaminal endoscopic discectomy on treatment of patients with single-segment lumbar disc herniation[J]. Journal of Clinical Medicine in Practice, 2019, 23(11): 83-85, 89. DOI: 10.7619/jcmp.201911023

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Effect observation of percutaneous transforaminal endoscopic discectomy on treatment of patients with single-segment lumbar disc herniation

YANG Jia¹,
CAO Hongqiang^2,

1.
The First Department of Spinal Osteopathy, Baoji Hospital of Traditional Chinese Medicine, Baoji, Shaanxi, 721001
2.
Department of Orthopedics, Yanchang County People′s Hospital, Yan'an, Shaanxi, 717199

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Received Date: April 12, 2019
Accepted Date: May 16, 2019
Available Online: February 22, 2021
Published Date: June 14, 2019

Graphical Abstract

Abstract

Abstract

Objective To investigate the clinical effect of percutaneous transforaminal endoscopic discectomy on treatment of patients with single-segment lumbar disc herniation.
Methods Totally 100 patients with single-segment lumbar disc herniation were divided into two groups according to different surgical procedures, with 50 cases in each group. The control group underwent posterior lumbar discectomy under discoscopy, while the observation group underwent percutaneous transforaminal discectomy. The surgical effects, pain, lumbar vertebral function and complications before and after operation were compared between the two groups.
Results The bleeding volume, incision length, bed rest time and hospitalization time of the patients in the observation group were significantly better than those in the control group (P < 0.05). The incidence rate of complications in the observation group was 4.00%, which was significantly lower than 18.00% in the control group (P < 0.05). There were no significant differences in pre-operative visual analogue score (VAS), dysfunction index (ODI) scores before and 1 month after operation between the two groups (P>0.05). One month after operation, the VSA score of the observation group was significantly lower than that of the control group (P < 0.05).
Conclusion Percutaneous transforaminal endoscopic discectomy is effective in treatment of patients with single-segment lumbar disc herniation.
- single-segment lumbar disc herniation,
- percutaneous transforaminal endoscopic discectomy,
- lumbar function,
- pain,
- dysfunction index

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References

[1]	袁帅, 蒋毅. 腰椎间盘突出症的临床诊治[J]. 中国临床医生杂志, 2018, 46(12): 7-9. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYS201812005.htm
[2]	吕天才. 经皮椎间孔镜技术治疗腰椎间盘突出症的疗效相关影响因素分析[J]. 实用临床医药杂志, 2017, 21(11): 136-138. doi: 10.7619/jcmp.201711043
[3]	顾军. 椎间孔镜技术与椎板间开窗治疗单节段腰椎间盘突出症的疗效观察[J]. 中国医药指南, 2017, 15(10): 71-72. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201710052.htm
[4]	怀娟, 岳寿伟. 腰椎间盘突出症康复治疗进展[J]. 华西医学, 2018, 33(10): 120-124. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYX201810020.htm
[5]	蒋顺琬, 陈大宇, 麦庆春. 经皮椎间孔镜下行TESSYS技术治疗腰椎间盘突出症的临床研究[J]. 中国骨与关节杂志, 2018, 7(10): 23-28. https://www.cnki.com.cn/Article/CJFDTOTAL-GZGL201810006.htm
[6]	邓洪利, 高文杰, 朱金文, 等. 经皮椎间孔镜TESSYS技术治疗单节段双侧腰椎间盘突出症[J]. 中国骨伤, 2018, 31(11): 64-68. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGU201811012.htm
[7]	杨业兵, 李雯, 孙云峰, 等. 《患病行为问卷》信效度再分析[J]. 临床医学工程, 2012, 19(9): 1591-1593. doi: 10.3969/j.issn.1674-4659.2012.09.1591
[8]	程继伟, 王振林, 刘伟, 等. Oswestry功能障碍指数的改良及信度和效度检验[J]. 中国脊柱脊髓杂志, 2017, 27(3): 235-241. doi: 10.3969/j.issn.1004-406X.2017.03.07
[9]	刘凯, 沈绍勇, 王铠. 经皮椎间孔镜靶向穿剌技术治疗单节段腰椎间盘突出症的体会[J]. 生物骨科材料与临床研究, 2017, 14(6): 30-33. doi: 10.3969/j.issn.1672-5972.2017.06.008
[10]	王顺新. 应用椎间孔镜TESSYS技术治疗腰椎间盘突出症临床疗效分析[J]. 中华全科医学, 2015, 13(9): 1547-1549. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201509061.htm
[11]	肖勇, 陈亚桥, 高前山, 等. 经皮椎间孔镜微创治疗椎间盘突出症32例[J]. 长江大学学报: 自然科学版, 2017, 14(24): 29-30. https://www.cnki.com.cn/Article/CJFDTOTAL-CJDL201724011.htm
[12]	张辰, 盛炎炎. 经皮椎间孔镜技术与椎板开窗联合人工半椎板成形术治疗腰椎间盘突出症的临床比较观察[J]. 山西中医学院学报, 2017, 18(5): 32-35. https://www.cnki.com.cn/Article/CJFDTOTAL-SHAN201705011.htm
[13]	李东, 常志泳, 蔡平, 等. 经皮椎间孔镜与椎间盘镜髓核摘除术治疗腰椎间盘突出症的比较[J]. 中国骨与关节损伤杂志, 2018, 33(9): 31-34. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201809007.htm
[14]	区杰雄, 李启中, 陈铭. PTED与MED治疗单节段腰椎间盘突出症的疗效比较[J]. 中国骨与关节损伤杂志, 2017, 32(1): 70-71. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201701021.htm
[15]	田大胜, 王其飞, 钟华璋, 等. 经皮椎间孔镜(TESSYS)治疗不同节段腰椎间盘突出症患者的疗效对比分析[J]. 安徽医科大学学报, 2018, 53(11): 139-142. https://www.cnki.com.cn/Article/CJFDTOTAL-YIKE201811028.htm
[16]	刘海平, 郝定均, 王晓东, 等. 两种微创手术方法治疗腰椎间盘突出症的临床疗效比较[J]. 中国疼痛医学杂志, 2017, 23(6): 438-442. doi: 10.3969/j.issn.1006-9852.2017.06.008
[17]	杨杜明, 张继源, 许三雄, 等. 经皮椎间孔镜技术治疗单节段腰椎间盘突出症的近期疗效[J]. 大理学院学报, 2017, 2(8): 41-43. https://www.cnki.com.cn/Article/CJFDTOTAL-DLSZ201708011.htm
[18]	罗旺, 王兵, 陈凌强, 等. 经皮椎间孔镜微创手术治疗腰椎间盘突出症的临床疗效分析[J]. 西部医学, 2018, 30(3): 400-408. doi: 10.3969/j.issn.1672-3511.2018.03.018

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