Clinical Effect of Percutaneous Endoscopic Lumbar Discectomy for Lumbar Disc Herniation and Its Influence on Pain Degree in Patients
Objective:To investigate the clinical effect of percutaneous endoscopic lumbar discectomy(PELD)in the treatment of lumbar disc herniation(LDH).Method:A total of 70 patients with LDH admitted to Qianxinan Autonomous Prefecture Traditional Chinese Medicine Hospital from June 2021 to June 2023 were selected and divided into two groups according to random number table,with 35 cases in each group.The control group underwent open laminectomy,and the observation group underwent PELD.The surgical conditions,pain level,inflammation level,lumbar spine function and quality of life between the two groups were compared.Result:The surgical time in the observation group was longer than that in the control group,the intraoperative blood loss in the observation group was less than that in the control group,and the time to get out of bed and hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05);the visual analogue scale(VAS)scores at 12,24 and 48 h after surgery were lower than those in the control group,the differences were statistically significant(P<0.05);the levels of postoperative white blood cells(WBC),C reactive protein(CRP)and erythrocyte sedimentation rate(ESR)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the Japanese orthopaedic association evaluation treatment score(JOA)scores in all dimensions and total score in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the postoperative quality of life scores in all areas of the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:PELD has significant effects on LDH and low postoperative VAS score,which is conducive to the recovery of lumbar spine function and reduces the impact on life.
万方数据
维普
