Comparison of the Efficacy and Safety of Percutaneous Intervertebral Foraminoscopic Extraction of Nucleus Pulposus and Fenestration of Laminae in the Treatment of Lumbar Disc Herniation
Objective To compare the effect of percutaneous transforaminal endoscopic discectomy(PTED)and fenestration discectomy(FD)on patients with lumbar disc herniation(LDH).Methods A total of 80 LDH patients admitted to Yuncheng Tangta Hospital from May 2020 to May 2023 were selected as the research objects,and were divided into a control group and an observation group according to the random number table method,with 40 cases in each group.The control group was treated with FD,and the observation group was treated with PTED,both groups were observed for 3 months after operation.Compare the surgical conditions,pain levels,lumbar spine function,lumbar spine range of motion,and occurrence of complications between two groups.Results The intraoperative blood loss in the observation group was(31.29±4.27)mL,which was less than(58.75±6.65)mL in the control group,the operative time was(62.49±6.25)min,the time of getting out of bed was(1.54±0.36)d,and the time of hospitalization was(6.31±1.26)d,they were all shorter than(83.87±8.96)min,(2.97±0.53)d and(10.46±1.58)d in the control group,and the complication rate was 5.00%,which was lower than 22.50%in the control group,and the differences between the groups were statistical significance(P<0.05);3 months after operation,the pain Visual Analogue Scale and Oswestry Disability Index scores of the observation group were lower than those of the control group,and the lumbar anterior flexor,posterior extension,right flexor and left flexor motion were higher than those of the control group,and the differences between the groups were statistical significance(P<0.05).Conclusion PTED has less damage and fewer complications,which helps LDH patients get out of bed as soon as possible,thereby reducing pain,accelerating lumbar function improvement,and increasing lumbar functional mobility.It can be widely applied in clinical practice.
Lumbar disc herniationComplicationsLumbar spine range of motionPainLumbar functionAmount of blood loss
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