Observation of the therapeutic effect of TPELD and LLE in the treatment of LSS
Aim To observe the therapeutic effects of transforaminal percutaneous endoscopic lumbar discectomy(TPELD)and lumbar laminectomy(LLE)in the treatment of lumbar spinal stenosis(LSS).Methods 208 LSS patients were selected and divided into TPELD group and LLE group according to the treatment method.The surgical time,intraoperative blood loss,intraopera-tive drainage,postoperative bed rest time,and total effective rate of treatment between two groups,as well as the Oswestry dysfunction index(ODI)score,visual analog scale(VAS)score,sagittal diameter of the spinal canal,and intervertebral space height at 2-month and 1-year follow-up,were compared.Results The TPELD group had lower surgical time,intraoperative bleeding volume,intra-operative drainage volume,and postoperative bed rest time compared with the LLE group(P＜0.05).Compared with the situations before operation,the sagittal diameter of the spinal canal and the height of the intervertebral space in both groups were increased after surgery,while the ODI score and VAS score were decreased.The patient in same group had a significant difference 1 year after sur-gery compared with the situations 2 months after surgery,and 2 months after surgery,the TPELD group had a significant difference compared with the LLE group(P＜0.05).However,there was no significant difference in the above indicators between the two groups(P＞0.05).There was no significant difference in the total effective rate between the two groups(P＞0.05).Conclusion Both TPELD and LLE have good therapeutic effects on intervertebral canal stenosis,but TPELD has small trauma and fast recovery,making it worthy of clinical recommendation.
万方数据
维普
