Application Effects of Minimally Invasive Spinal Canal Endoscopy System in Lumbar Disc Herniation
Objective To explore the application effect of minimally invasive spinal endoscope system in fusion surgery for patients with lumbar disc herniation.Methods According to a 1:1 ratio,92 patients with lumbar disc herniation admitted to Henan Provincial Third People's Hospital from May 2021 to May 2022 were randomly divided into a conventional fusion group and a channel mirror fusion group,with 46 patients in each group.The conventional fusion group was treated with transforaminal lumbar fusion,and the channel mirror fusion group was treated with minimally invasive spinal channel mirror system on this basis.The surgery-related indicators,visual analogue scale(VAS)scores for low back pain and leg pain,trauma stress[substance P(SP),prostaglandin E2(PGE2),neuropeptide Y(NPY)]and nerve injury indicators[common peroneal nerve conduction velocity(NCV),latency(DL)]were compared between the two groups.Results There were no differences in intraoperative blood loss and postoperative hospitalization time between the two groups(P＞0.05).The decompression time,fusion time,and operation time in the channel mirror fusion group were shorter than those in the conventional fusion group.The postoperative drainage volume was lower than that in the conventional fusion group,and the postoperative ambulation time was earlier than that in the conventional fusion group(P＜0.05).The VAS scores of low back pain and leg pain in channel mirror fusion group were not different from those in the Conventional fusion group at 1 week,3 months and 12 months after surgery(P＞0.05).The SP,PGE2 and NPY in the channel mirror fusion group were lower than those in the conventional fusion group at 1 day and 3 days after surgery(P＜0.05).The NCV of the common peroneal nerve in the channel mirror fusion group was higher than that in the conventional fusion group,while the DL of the common peroneal nerve was lower than that in the conventional fusion group at 1 day after surgery(P＜0.05).Conclusion The application of minimally invasive spinal channel endoscopic system in fusion surgery can achieve similar effects as that of single fusion surgery,and can reduce postoperative drainage,accelerate postoperative movement of patients,shorten decompression time,fusion time and operation time,reduce surgical trauma and protect nerves without increasing intraoperative blood loss and delaying discharge.
万方数据
维普
