Comparative Analysis of Transforaminal Endoscopic Discectomy and Laminectomy in the Treatment of Lumbar Disc Herniation  

椎间孔镜下髓核摘除术与椎板开窗髓核摘除术治疗腰椎间盘突出症的对比分析

作　　者：DU Zhipo ZHANG Jingbin LI Jing ZHANG Chao CUI Kunkun 

机构地区：[1]BaodingFourthCentralHospitalofHebeiProvince,BaodingHebei072350,China

出　　处：《外文科技期刊数据库(文摘版)医药卫生》2021年第3期343-348,共6页

摘　　要：Objective: to compare and analyze the efficacy and complication rate of transforaminal endoscopic discectomy and laminectomy in the treatment of lumbar disc herniation. Methods: 92 patients with lumbar disc herniation in our hospital from January 2019 to January 2020 were selected to carry out clinical exploration. All patients were randomly divided into observation group and control group, 46 cases in each group. The control group was treated with laminectomy, while the observation group was treated with percutaneous transforaminal endoscopic discectomy. The postoperative symptoms, clinical signs, MRI examination of nerve root compression relief and other therapeutic indicators were evaluated, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection and so on were counted. The curative effect and complication rate of the two groups were compared and analyzed. Results: after the treatment of the two groups of patients with intervertebral foramen endoscopic nucleus pulposus removal and laminectomy, the treatment effectiveness of the two groups of patients with postoperative symptoms, clinical signs and MRI examination of nerve root compression relief, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection were compared. Statistical analysis found that the total effective rate of the observation group was higher than that of the control group (P < 0.05), and the incidence of complications was lower than that of the control group (P < 0.05). Conclusion: the application of transforaminal endoscopic discectomy and lamina fenestration discectomy in the treatment of lumbar disc herniation can effectively relieve the symptoms of patients, improve the clinical signs, improve the quality of life of patients and MRI examination of nerve root compression relief. The two groups can obtain satisfactory results.

关 键 词：percutaneous foraminal technique lumbar disc herniation minimally invasive treatment curative eff 

分 类 号：R687.3[医药卫生—骨科学]