Effect comparison of percutaneous transforaminal endoscopic discectomy and fenestration discectomy in the treatment of lumbar intervertebral disc herniation
LIAO Qiang
Department of Spine Surgery,the People′s Hospital of Pingxiang City,Jiangxi Province,Pingxiang 337055,China
Abstract：Objective To compare the clinical effect of percutaneous transforaminal endoscopic discectomy and fenestration discectomy in the treatment of lumbar intervertebral disc herniation.Methods A total of 94 cases of patients with lumbar intervertebral disc herniation treated in our hospital from August 2016 to December 2017 were selected as research objects and divided into the control group(n=44)and the study group(n=50)according to the method of touching the ball.The control group was treated with fenestration discectomy while the study group was treated with percutaneous transforaminal endoscopic discectomy.The results of indexes of curative effect,visual analogue scale (VAS)of pain,Japanese Orthopaedic Association (JOA)lumbar function score,intraoperative blood loss,and the average hospitalization time were compared and analyzed between the two groups.Results The excellent and good rate of patients in the study group was 98.00%,which was higher than that in the control group(86.36%),and the difference was statistically significant(χ2=4.598,P<0.05).The VAS scores of patients after treatment of two groups were lower than those before treatment,the JOA scores were higher than those before treatment,and the differences were statistically significant(P<0.05).The VAS score of after treatment in the study group was lower than that of the control group,the JOA was higher than that of the control group,and the differences were statistically significant(P<0.05).The intraoperative blood loss in the study group was less than that in the control group,the time of average hospitalization in the study group was shorter than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Compared with fenestration discectomy,percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation is effective,which is worthy of clinical application.
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