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- Title
经皮椎间孔镜与椎板开窗治疗腰椎间盘突出症的疗效分析.
- Authors
方卫军; 李章华; 潘峰; 许海甲; 侯煜东
- Abstract
Objective: To discuss the clinical efficacy of two surgical treatment on lumbar disc herniation: percutaneous transforaminal endoscopic discectomy (PTED) and fenestration discectomy (FD). Methods: Retrospectively analyzed 80 cases with single segmental lumbar disc disease between January 2014 and June 2015, 37 cases in PTED group, the other 43 cases in FD. Recorded the data of two groups, including the number of fluoroscopy times, length of the incision, operation tune, amount of bleeding, ambulation time and hospitalization time. The surgery efficacy of two groups can be judged with VAS and ODI score between pre and post surgery. Results: The PTED group was superior to FD group on the length of the incision (7.91± 0.69 nun VS 64.09± 9.90 mm), the amount of bleeding (9.77 ± 2.36 mL VS 64.16± 16.95 mL), the ambulation time (6.31 ±2.31 h VS 81.55 ± 77.93 h) and the hospitalization time (3.79± 1.14 d VS 8.65± 2.27 d ), the difference between two group had statistically significant. The FD group had more fewer the fluoroscopic times (2.74± 0.90 VS 16.54± 3.10 ) and shorter the operation time (58.23± 9.98 min VS 88.00± 10.82 min) than PTED group, the difference between two group had statistically significant. All patients were followed up. The score of Macnab was no difference between the two groups, and had no statistically significant difference. The postoperative ODI and VAS scores in both groups were significantly improved when compared with those before the operation (t=1.06, P=0.00). According to the last follow-up modified Macnab criteria, PTED and FD group in the excellent and good rate are respectively 83.78-% and 79.06 %, there were no statistically significantly difference (X2=0.874, P=0.918). Conclusions: Both PTED and FD were effective to treat LDH. The PTED significantly had the advantage of small incision but accurate operation and reduced the amount of bleedmg, ambulation time, hospitalization time, postoperative complications as well as quicker visual recovery. On the contrary, FD was superior to PTED on small X ray radiation, short operation time and short learning curve.
- Publication
Progress in Modern Biomedicine, 2016, Vol 16, Issue 34, p6660
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2016.34.015