Effect of Intervertebral Foramen Endoscopic Lumbar Disc Nucleus Pulposus Removal Combined with Fiber Ring Suture Repair on Lumbar Disc Herniation
Objective:To explore the feasibility of clinical treatment of lumbar disc herniation by intervertebral foramen endoscopic lumbar disc nucleus pulposus removal combined with fiber ring suture repair for patients who were confirmed to be lumbar disc herniation by relevant examinations of the Second Affiliated Hospital of Gannan Medical College.Method:A total of 68 patients with lumbar disc herniation treated in the Second Affiliated Hospital of Gannan Medical College from November 2020 to November 2022 were selected as the subjects of this study,and they were divided into the control group and the observation group according to the differences in treatment schemes,with 34 cases in each group.The control group was treated with small fenestration of the lumbar spine,and the observation group was treated with intervertebral foramen endoscopic lumbar disc nucleus pulposus removal and fiber ring suture repair.The differences in preoperative and postoperative pain factor levels,lumbar range of motion,and spinal stability between the two groups were compared.Result:There were no statistically significant differences in preoperative pain factor levels between the two groups(P>0.05).The levels of pain factors such as β-endorphin,prostaglandin E2 and 5-hydroxytryptamine in the two groups at 3 months after operation were lower than those before operation,the differences were statistically significant(P<0.05).The levels of pain factors such as β-endorphin,prostaglandin E2 and 5-hydroxytryptamine at 3 months after operation in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There were no statistically significant differences in preoperative lumbar mobility between the two groups(P>0.05).The lumbar extension,lumbar forward flexion,left lumbar flexion,and right lumbar flexion of the two groups of patients at 3 months after operation were all higher than those before the surgery,the differences were statistically significant(P<0.05);the lumbar extension,lumbar forward flexion,left lumbar flexion,and right lumbar flexion in the observation group at 3 months after operation were all higher than those in the control group,with statistically significant differences(P<0.05).There were no statistically significant differences in preoperative spinal stability between the two groups(P>0.05).The thoracic kyphosis angle of the two groups at 3 months after operation were higher than those of the two groups before operation,and lumbar kyphosis angle,sagittal plane balance,and jaw brow angle at 3 months after operation were lower than those of the two groups before operation,with statistically significant differences(P<0.05);thoracic kyphosis angle at 3 months after operation in the observation group was higher than that in the control group,and lumbar kyphosis angle,sagittal plane balance,and jaw brow angle at 3 months after operation were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion:For patients with lumbar disc herniation,the clinical effect of intervertebral foramen endoscopic lumbar disc nucleus pulposus removal combined with fiber ring suture repair is significant.This scheme can not only improve the pain and lumbar mobility of patients with lumbar disc herniation,but also help restore the stability of the spine,providing more accurate and efficient treatment options for patients with lumbar disc herniation.
万方数据
维普
