Comparison of the Effects of CT Guided Radiofrequency Ablation of Lumbar Disc Targets and Percutaneous Foraminal Endoscopic Nucleus Pulposus Removal on Lumbar Disc Herniation
Objective:To compare the effects of CT guided radiofrequency ablation of lumbar intervertebral disc targets and per-cutaneous foraminal endoscopic nucleus pulposectomy on lumbar disc herniation.Methods:A retrospective analysis was conducted on 120 patients with lumbar disc herniation from October 2020 to October 2021.They were divided into groups according to the differences in surgical methods.Among them,60 patients were treated with CT guided lumbar disc target radiofrequency ablation and were divided into the radiofrequency ablation group.The remaining 60 patients were treated with percutaneous foramen endoscopic nucleus pulposec-tomy and were divided into the percutaneous foramen endoscopic group.Compare the clinical treatment outcomes of two groups of pa-tients,including surgical time,intraoperative blood loss,first time out of bed,and length of hospital stay.Visual Analog Pain Scale(VAS),Japanese Orthopaedic Association Scores(JOA)were used before surgery,1 month,3 months,and 6 months after surgery,re-spectively The Osweatry Dysfunction Index(ODD evaluates the degree of pain,lumbar spine function,and lower limb dysfunction in the near and long term,and finally compares the incidence of postoperative complications between the two groups of patients.Results:There was no significant difference in the excellent and good treatment rates between the radiofrequency ablation group and the percutaneous foraminal endoscopy group(P＞0.05);The surgical time in the radiofrequency ablation group was higher than that in the percutaneous foraminal mirror group,while the intraoperative blood loss,first time out of bed,and hospital stay in the radiofrequency ablation group were lower than those in the percutaneous foraminal mirror group(P＜0.05);After 1 month,3 months,and 6 months of surgery,the JOA score of the two groups of patients increased.The JOA score of the percutaneous foramen mirror group was higher than that of the radiofrequency ablation group at 6 months after surgery,while the VAS score and ODI index of the two groups decreased at 1 month,3 months,and 6 months after surgery.The VAS score of the percutaneous foramen mirror group was lower than that of the radiofrequency ablation group at 6 months after surgery(P＜0.05);There was no significant difference in the incidence of complications such as nerve in-jury,parasoas major hematoma,lumbar instability,and postoperative infection between the radiofrequency ablation group and the percu-taneous foraminal endoscopy group(P＞0.05).Conclusion:CT guided lumbar disc target radiofrequency ablation and percutaneous inter-vertebral foramen lens nucleus pullla treatment of lumbar disc herniation clinical curative effect and safety and no significant difference,CT guided lumbar disc target radiofrequency ablation trauma,low intraoperative bleeding,can promote early postoperative rehabilitation,and percutaneous interforaminal lens nucleus pullla can further reduce postoperative future pain degree,promote lumbar function recov-ery,improve lower limb dysfunction.
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