Comparison on the Effects of Percutaneous Transforaminal Endoscopy with Different Needle Insertion Techniques in the Treatment of Patients with Lumbar Disc Herniation
Objective To compare the clinical effects of percutaneous transforaminal endoscopy with different needle insertion techniques in the treatment of patients with lumbar disc herniation.Methods A total of 90 patients with lumbar disc herniation who underwent percutaneous transforaminal endoscopic surgery in our hospital from January 2019 to January 2022 were selected and randomly divided into two groups,with 45 cases in each group.The control group received conventional posterior approach for needle insertion,and the observation group received 45°posterior approach for needle insertion.The clinical efficacy,pain degree and lower limb function were compared between the two groups.Results No significant difference was found in the excellent and good rate of treatment between the two groups(P>0.05).The VAS scores at 6 months and 1 year after surgery of the observation group were significantly lower than those of the control group(P<0.05).The ODI score at 1 year after surgery of the observation group was significantly lower than that of the control group(P<0.05).Conclusions The short-term curative effects of percutaneous transforaminal endoscopic surgery through conventional posterior approach and 45° posterior approach for needle insertion in the treatment of lumbar disc herniation are comparable,but 45° posterior approach for needle insertion can significantly reduce the long-term postoperative pain and improve the lower limb function of patients.
Percutaneous transforaminal endoscopic surgeryLumbar disc herniationPain degreeLower limb function
国家科技期刊平台
NSTL
万方数据
维普
