Objective To investigate the clinical effect of unilateral posterior percutaneous foraminoscopy technique in the treatment of lumbar disc herniation.Methods A total of 47 patients with lumbar disc herniation(66 segments)were treated by unilateral posterior percutaneous foraminoscopy technique.The intraoperative bleeding volume,surgical time(from skin puncture to suturing incision),hospitalization time were recorded.The relief of waist and leg pain were evaluated by using the pain VAS;the lumbar functional recovery was assessed with ODI and JOA scores;and clinical efficacy was evaluated by using improved MacNab criteria.Results All patients were followed up for 6～18(10.2±3.7)months.Calculated as a single segment:intraoperative bleeding volume was 5～20(12.9±5.6)ml,and surgical time was 50～112(85.6±14.7)min.The hospitalization time was 5～24(9.0±4.1)d.Pain VAS,ODI,JOA score:Postoperative various time points were better than the preoperation;the performances generally got better and better with the time prolonging(P＜0.05).At the last follow-up,the excellent-good rate evaluated with im-proved MacNab standard was 93.62％(44/47);imaging examination showed complete release of nerve root compres-sion and sufficient decompression of bone stenosis compression.Conclusions For the treatment of lumbar disc herni-ation,unilateral posterior percutaneous foraminoscopy technique is a safe and effective method,with simple intraopera-tive operation,convenient multi-segment treatment,minimal trauma,fewer complications,faster postoperative recovery,reliable efficacy,and less influence on the stability of the lumbar spine.
万方数据
维普
