Study on the Relationship Between Clinical Staging of Lumbar Disc Herniation and the Efficacy of Percutaneous Intervertebral Foraminoscopic Surgery
Objective:To investigate the relationship between clinical staging of lumbar disc herniation and the efficacy of percutaneous foraminotomy.Methods:125 patients with different clinical staging of lumbar disc herniation who underwent percutaneous laminectomy in the hospital from November 2021 to November 2022 were selected as the study subjects.The safety of surgery was evaluated by comparing the surgical indexes of patients with different clinical subtypes of LDH;the visual analog scale(VAS),Oswestry disability index(ODI),and the Japanese Orthopaedic Association Scores(JOA)were used to compare the surgical outcomes of patients with different staging.Results:Under percutaneous foraminoscopic treatment,the operation time,intraoperative bleeding,hospitalization time in patients with scoliosis were significantly lower than other subtypes.The operation time,intraoperative blood loss,and length of stay in patients with foot drop were significantly higher than those with other types.At the 1-month follow-up after percutaneous laminectomy,the VAS,ODI and JOA scores of patients with different clinical subtypes of LDH were significantly higher than those before treatment.Conclusion:Percutaneous intervertebral foraminoscopic for lumbar disc hemiation with different clinical types is effective,and the postoperative pain symptoms were gradually reduced and the recovery of lumbar spine function and neurological function was good.All patients had good indicators of operative time,bleeding and hospitalization time.However,the clinical effect of patients with lateral bending type is the best,and that of patients with foot drop type is slightly worse.
万方数据
维普
