Comparison of the Effects of Lateral-Posterior Approach Transforaminal Endoscopic Surgery and Posterior Discoscopic Surgery on Surgical Indicators and Lumbar Function in Patients with Lumbar Disc Herniation
Objective To investigate the effects of lateral-posterior approach transforaminal endoscopic surgery and posterior discoscopic surgery on patients with lumbar disc herniation(LDH).Methods A total of 150 LDH patients admitted to the First Rehabilitation Hospital of Shandong Province from July 2020 to July 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 75 cases in each group.The control group underwent posterior discoscopic surgery,and the observation group underwent lateral-posterior approach transforaminal endoscopic surgery.The relative indexes,pain degree,lumbar spine function,quality of life and complications were compared between the two groups.Results The intraoperative blood loss in the observation group was(20.53±4.29)mL,less than(51.89±6.75)mL in the control group,the operative time was(82.39±9.36)min,longer than(45.56±7.21)min in the control group,and the time of getting out of bed was(1.61±0.42)d,it was shorter than(2.57±0.63)d the control group,and the length of hospitalization was(4.36±1.35)d,which was shorter than(7.15±1.89)d the control group,and the difference was statistically significant(P＜0.05).One month after surgery,the pain Visual Analogue Scale score and Oswestry Disability Index of the observation group were(1.24±0.37)points and(10.26±1.75)points,both lower than(2.57±0.58)points and(14.30±2.24)points of the control group,and the differences between groups were statistically significant(P＜0.05).One month after surgery,the scores of all dimensions in the Generic Quality of Life Inventory-74 were(76.97±5.13)points,(78.95±4.26)points,(79.25±4.41)points,(81.25±4.25)points,respectively.They were higher than(68.83±4.25)points,(70.29±3.58)points,(67.96±3.83)points and(72.84±3.96)points in the control group,and the difference was statistically significant(P＜0.05).There was no significant difference in complications between the two groups(P＞0.05).Conclusion Although lateral-posterior approach transforaminal endoscopic surgery can prolong the surgical time,it has smaller trauma,shorter time to get out of bed,shorter hospital stay,faster recovery of lumbar spine function,can improved quality of life,and no serious complications.
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