Clinical Efficacy of Annulus Fibrosus Repair affter Discectomy under Endoscopic Treatment of Lumbar Disc Herniation
Objective:Exploring the clinical efficacy of using endoscopic nucleus pulposus removal combined with annulus fibrosus repair for the treatment of lumbar disc herniation(LDH).Methods:82 patients with LDH were enrolled from January 2021 to January 2023.Among them,47 patients were treated with simple full visual endoscopic nucleus pulposus removal surgery(control group),and 35 patients were treated with total endoscopic nucleus pulposus removal combined with annulus fibrosus repair(repair group).The surgical time and intraoperative bleeding were recorded,and Oswestry dysfunction index(ODI),visual analogue scale(VAS)scores of low back pain and lower limb pain were recorded before,10 d after surgery,and 3,6,12,and 18 months after surgery.Observe the surgical complications and postoperative recur-rence in two groups.Results:Both groups of surgeries were successfully completed and received complete follow-up.The repair group had a longer surgical time than the control group(P＜0.05),and there was no statistically significant differ-ence in intraoperative bleeding between the two groups(P＞0.05).There was no statistically significant difference in the VAS score and ODI at each postoperative time point between the two groups(P＞0.05).The VAS score and ODI at each postoperative time point in the two groups were significantly improved compared to before surgery,and the difference was statistically significant(P＜0.05).Both groups did not experience serious complications such as dural sac tear,postoperative infection,and compression of spinal hematoma.The recurrence rate in the control group was 8.51％,of which 30.4％underwent surgery again.There was no recur-rence or reoperation cases in the repair group.Conclusion:The use of endoscopic nucleus pulposus removal combined with annulus fibrosus repair for the treatment of lumbar disc herniation can achieve significant early clinical results,effectively reducing the risk of postoperative recurrence and reoperation.
NETL
NSTL
万方数据
维普
