Abstract：Objective To investigate the clinical effect of Wiltse approach decompression and fixation fusion in the treatment of lumbar disc herniation.Methods The clinical data of 80 patients with lumbar disc herniation treated in the Department of Orthopedics of Qinzhou Hospital of Traditional Chinese Medicine from July 2018 to July 2020 were analyzed retrospectively.According to the surgical method,they were divided into the control group(40 cases)and the intervention group(40 cases).Tthe control group used the posterior median approach for fusion,and the intervention group used the Wiltse approach for fusion.The operation time,intraoperative blood loss,postoperative drainage,postoperative pain,and recovery were compared between the two groups.Results The operation time of the intervention group was shorter than that of the control group,and the difference was statistically significant(P＜0.05).The intraoperative blood loss and postoperative drainage volume of the intervention group were less than those of the control group,the differences were statistically significant(P＜0.05).The scores of visual analogue scale(VAS)in the intervention group at 3 and 14 days after operation were lower than those in the control group,and the differences were statistically significant(P＜0.05).The Oswestry dysfunction index(ODI)of the intervention group at 1 and 6 months after operation were lower than those of the control group,and the differences were statistically significant(P＜0.05).Conclusion The Wiltse approach is more effective than the posterior median approach in the treatment of lumbar disc herniation,which can improve the surgical index,quickly relieve the postoperative pain of the patient,and promote the postoperative recovery.It is worthy of popularization and application.
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