Clinical outcomes of percutaneous transforaminal endoscopic discectomy and Quadrant minimally invasive system in treatment of lumbar disc herniation
10.3969/j.issn.1007-1989.2017.07.001
- VernacularTitle:经皮椎间孔镜与Quadrant微创通道下治疗腰椎间盘突出症的临床研究
- Author:
Xiangjiang WANG
;
Guiqing WANG
;
Chunlei LIU
;
Zhaohua LI
;
Yongzhi TANG
;
Liqun YANG
- Keywords:
lumbar disc herniation;
Quadrant;
percutaneous transforaminal endoscopic discectomy;
minimally invasive treatment
- From:
China Journal of Endoscopy
2017;23(7):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of percutaneous transforaminal endoscopic discectomy (PTED) and Quadrant minimally invasive system in treatment of lumbar disc herniation (LDH). Methods 59 single-level LDH patients were randomly divided into PTED group (n = 31) and Quadrant group (n = 28). Then compare the operative time, incision length, blood loss, length of hospital stay, and the return-to-work time between the two groups. In addition, visual analogue scale (VAS), Japanese Orthopedic Association (JOA), Oswestry disability index (ODI), and modified MacNab criteria were used for surgical efficacy evaluation. Results In PTED group, compared with Quadrant group, we observed, shorter incision length, less blood loss, shorter hospital stay, and shorter time of returning to work (P < 0.05), postoperative VAS, JOA and ODI scores had been improved in both groups (P < 0.05). The PTED group had lower VAS scores of lumbago at 3 days and 1, 3 months postoperatively (P < 0.05). As for postoperative JOA and ODI score, no notable difference was found between the two groups at each corresponding follow-up time point (P > 0.05). According to the improved MacNab criteria, there was no significant difference in excellent or good rate between the two groups (P > 0.05). Conclusion The clinical results of PTED and Quadrant minimally invasive system in treatment of lumbar disc herniation were satisfactory, and PTED were less traumatic method with rapid recovery.
