Effects of percutaneous transforaminal endoscopic discectomy in the treatment of patients with lumbar disc herniation
Objective:To investigate effects of percutaneous endoscopic lumbar discectomy(PELD)in treatment of patients with lumbar disc herniation(LDH).Methods:A prospective study was conducted on 90 patients with LDH admitted to this hospital from January to October 2022.They were divided into control group and observation group by using the random number table method,45 cases in each group.The control group was treated with traditional fenestration discectomy,while the observation group was treated with PELD.The clinical efficacy,the perioperative indexes(operation time,intraoperative blood loss,exercise time leaving bed,hospitalization time)levels,the lumbar function index levels before and after the surgery[straight leg elevation angle,visual analogue scale(VAS)score and Oswestry dysfunction index(ODI)score],the serum inflammatory factors before and after the surgery[C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)]levels,and the incidence of complications were compared between the two groups.Results:The excellent treatment rate of in the observation group was 95.56%(43/45),which was higher than 80.00%(36/45)in the control group,and the difference was statistically significant(P<0.05).The operation time,the exercise time leaving bed and the hospitalization time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).Three months after the surgery,the straight leg elevation angle of the observation group was higher than that of the control group,the VAS and ODI scores were lower than those of the control group,and the differences were statistically significant(P<0.05).Three days after the surgery,the levels of serum CRP and TNF-α in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 2.22%(1/45),which was significantly lower than 26.67%(12/45)in the control group,and the difference was statistically significant(P<0.05).Conclusions:PELD in the treatment of the LDH patients can improve the excellent treatment rate,reduce the surgical trauma,reduce the intraoperative blooding,shorten the operation time,the exercise time leaving bed and the hospitalization time,reduce the postoperative pain and the inflammatory factor levels,and improve the postoperative lumbar function.Moreover,it is superior to traditional fenestration discectomy.
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