Comparison of effects of percutaneous endoscopic lumbar discectomy and small incision fenestration discectomy in treatment of patients with lumbar disc herniation
Objective:To compare effects of percutaneous endoscopic lumbar discectomy(PEID)and small incision fenestration discectomy in treatment of patients with lumbar disc herniation(LDH).Methods:A prospective study was conducted on 82 patients with LDH admitted to Tongxu county hospital of traditional Chinese medicine from January 2020 to January 2023.According to the random number table method,they were divided into control group(n=41)and study group(n=41).The control group was treated with small incision fenestration discectomy,while the study group was treated with PEID.The levels of surgical-related indexes,the clinical efficacy,the levels of traumatic stress indexes[epinephrine(E)and cortisol(Cor)],the lumbar function[Japanese Orthopaedic Association(JOA)score],and the incidence of complications were compared between the two groups before and after the surgery.Results:The intraoperative blood loss in the study group was less than that in the control group;the operation time,the incision length and the postoperative bed rest time were shorter than those in the control group;and the differences were statistically significant(P<0.05).At 24 h after the surgery,the levels of E and Cor in the two groups were higher than those before operation,but those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 3 months after the surgery,the JOA scores of the two groups were higher than those before the surgery,that in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions:PEID in the treatment of the LDH patients can improve the lumbar function and reduce the levels of surgery-related indexes and the incidence of complications.Moreover,it is superior to small incision fenestration discectomy.
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