Effects of percutaneous transforaminal endoscopic discectomy in treatment of patients with lumbar disc herniation
Objective:To observe effects of percutaneous transforaminal endoscopic discectomy in treatment of patients with lumbar disc herniation(LDH).Methods:The clinical data of 68 patients with LDH admitted to this hospital from May 2022 to May 2023 were retrospectively analyzed.According to different surgical methods,they were divided into control group and observation group,34 cases in each group.The control group was treated with fenestration discectomy,while the observation group was treated with percutaneous transforaminal endoscopic discectomy.The perioperative indexes(incision length,first ambulation time,hospitalization time,operation time,intraoperative blood loss)levels,the quantitative parameters of magnetic resonance imaging levels before and after the surgery[T2 value and Tlrho value of nucleus pulposus(NP)area and annulus fibrosus(AF)area],the lumbar function[Oswestry dysfunction index(ODI)]score,the pain digital scale(NRS)score,the serological indexes[prostaglandin E2(PGE2),thromboxane B2(TXB2),tumor necrosis factor-α(TNF-α)]levels,and the incidence of complications were compared between the two groups.Results:The incision length,the first ambulation time and the hospitalization time of the observation group were shorter than those of the control group,the intraoperative blood loss was lower than that of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the operation time between the two groups(P>0.05).3 months after the surgery,the T2 values and Tlrho values of NP area and AF area in the two groups were higher than those before the surgery,but there were no significant differences between the two groups(P>0.05).The ODI and NRS scores of the two groups were lower than those before the surgery,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).7 days after the surgery,the levels of serum PGE2,TXB2 and TNF-α in the two groups were lower than those before the surgery,those 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 2.94%(1/34),which was lower than 23.53%(8/34)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Percutaneous transforaminal endoscopic discectomy for the LDH patients can improve the levels of perioperative indexes,improve the lumbar function,reduce the degree of pain,and reduce the levels of serological indexes and the incidence of complications.Moreover,it is superior to fenestration discectomy.
Percutaneous transforaminal approachEndoscopeDiscectomyLumbar disc herniationLumbar function