Treatment for lumbar disc herniation with percutaneous transforaminal endoscopic discectomy and discussing the relative problems
10.3760/cma.j.issn.1673-4203.2015.02.007
- VernacularTitle:腰椎间盘突出症的椎间孔镜治疗兼论相关问题
- Author:
Liang CHENG
;
Jian KANG
;
Weixing LI
;
Fang LIANG
;
Haibin CHEN
- Publication Type:Journal Article
- Keywords:
Lumbar disc herniation;
Percutaneous transforaminal endoscopic discectomy;
Treatment outcome;
Signs and symptoms;
Intraoperative complications
- From:
International Journal of Surgery
2015;42(2):93-96,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficiency,decision of intra-operative puncture route,treatment of perioperative complications and discuss the other relative problems of the treament for lumbar disc herniation with percutaneous transforaminal endoscopic discectomy.Methods To excise the nucleus pulpesus under percutaneous transforaminal endoscopic discectomy,use the Macnab standard,visual analogue scale and infrared thermal imaging to estimate the efficiency.Results Among followed-up of 208 patients,182 patients were excellent and good outcome,23 patients favorable,2 patients fair,0 patient poor.The leg and back VAS was a significant improvement 1 week post-operation compared with pre-operation (P ＜ 0.05),but no statistical difference among 3 months,6 months,12 months and 1 week post-operation (P ＞ 0.05).The infrared thermal imaging point out that the legs skin temperature of D-value was a significant improvement post-operation compared with pre-operation (P ＜ 0.05).Conclusions The method excised the nucleus pulpesus,and provided the spine maximum protection about the stability and flexibility.Intra-operative puncture route of individuation design can reduce the complications of intervertebral foramen perioperative,and the key to improve the effectiveness.
