Treatment of lumbar disc herniation with modified transforaminal endoscopic surgical system
10.3969/j.issn.1007-1989.2018.04.001
- VernacularTitle:改良椎间孔镜技术治疗腰椎间盘突出症的疗效分析
- Author:
Yuan-Ming CHEN
1
;
Jian WAN
;
Zhong-Fei HUANG
;
Xun WANG
Author Information
1. 广西医科大学第二附属医院 骨科
- Keywords:
transforaminal endoscopic surgical system;
lumbar disc herniation;
efficacy;
risk factors
- From:
China Journal of Endoscopy
2018;24(4):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effects and influence factors in the treatment of lumbar disc herniation (LDH) by the application of modified transforaminal endoscopic surgical system. Methods Clinical data of 178 cases with LDH from November 2013 to May 2016 was retrospectively analyzed and totally followed-up after surgery. Compare the scores of VAS and JOA preoperative and in the follow-up, the efficacy evaluation was performed using modified MacNab system, the effectiveness was observed and the factors that might affect the efficacy were analyzed. Results The VAS score in the back pain, leg pain and JOA of lumbar vertebral function, those three indexes were significantly improved (P < 0.01). Modified MacNab system: 57 cases in excellent, 85 cases in good, 20 cases in fair and 16 cases in poor, with an excellent and good rate of 79.8% and 91.0% efficiency; The results of single factor analysis showed that there was a correlation between age, course of disease, history of surgery in the same segment, symptoms and calcification of prolapse objects (P < 0.05). The results of multi-factor analysis showed that age above 45 years old, history of surgery in the same segment and numbness were the independent risk factors (OR^values are 5.04, 3.03 and 5.55) that affect the curative effect. Conclusions The treatment of LDHby modified transforaminal endoscopic surgical system is effectiveness and can significantly improve the symptomsof patients; Age, course of the disease, surgery history with the same segment, symptoms, calcification of prolapsedobjects can affect curative effect, and the age above 45 years old, surgery history with the same segment, numbnesssymptoms were the independent risk factors for the treatment of LDH with modified transforaminal endoscopicsurgical system.
