Efficacy of different approaches of spinal endoscopy in the treatment of L<sub>4-5</sub> intervertebral disc herniation
Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 5
Abstract
<b>Objective</b> To compare the clinical efficacy of two approaches under spinal endoscopy in the treatment of L<sub>4-5</sub> intervertebral disc herniation. <b>Methods</b> A retrospective analysis was performed for 148 patients with L<sub>4-5</sub> intervertebral disc herniation treated in The Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University from January 2020 to June 2023. Among them, 68 cases were treated with percutaneous endoscopic transforaminal discectomy (PETD group), and 80 cases were treated with percutaneous endoscopic interlaminar discectomy (PEID group). Surgical time, intraoperative fluoroscopy frequency, intraoperative bleeding volume, postoperative hospital stay, and clinical efficacy were compared between two groups. Preoperative and postoperative lumbar Oswestry dysfunction index (ODI), VAS score for lower back and leg pain were compared. <b>Results</b> Patients in both groups were followed up for 6-36 months, with an average of 21.6 month. The surgical time, intraoperative bleeding volume, postoperative hospital stay, and intraoperative fluoroscopy in the PEID group were significantly lower than those in the PETD group (P＜0.05). The VAS scores of lower back and leg pain and ODI scores in the two groups at the first day, one month, three months and the last follow-up after operation were improved compared with those before operation (P＜0.05), but there was no significant difference between the two groups (P＞0.05). There was no significant difference in the excellent and good rate between the PETD group and PEID group (95.6% vs 93.8%, χ2=0.016, P=0.898). <b>Conclusion</b> Both approaches under spinal endoscopy can effectively treat L<sub>4-5</sub> intervertebral disc herniation, but the PEID group has shorter operation time and fewer fluoroscopic times, which can effectively shorten the operation time and anesthesia time.
Authors and Affiliations
ZHU Hai, XU Yongyi, SUN Xuan, JI Feng
Keywords
Related Articles
- EP ID EP736327
- DOI 10.13429/j.cnki.cjcr.2024.05.007
- Views 61
- Downloads 0
Feasibility and clinical value of deep learning reconstruction in accelerated MRI of shoulder
Objective To investigate the feasibility and clinical value of the deep learning reconstruction (DLR) algorithm in enhancing image quality and reducing scan time in shoulder MRI. Methods Fifty patients suspected of hav...
Construction and verification of hypoxemia prediction model for gynecological operation patients after entering postanesthesia care unit
Objective To establish and verify the prediction model of hypoxemia in gynecological surgery patients after entering postanesthesia care unit (PACU). Methods Ninety patients who underwent gynecological surgery in Urumqi...
Temporary inferior vena cava filter combined with catheter contact thrombolysis in the treatment of acute pulmonary embolism secondary to pelvic vein thrombosis
Objective To investigate the treatment methods and efficacy of acute pulmonary embolism. Methods The diagnosis and treatment information of 8 patients with APE secondary to pelvic vein thrombosis admitted by the Changsh...
Multimodal imaging in predicting left ventricular remodeling after PPCI in patients with acute ST-segment elevation myocardial infarction
Objective To investigate the predictive value of three-dimensional speckle tracking echocardiography (3D-STE), myocardial work (MW), and late gadolinium enhancement cardiac magnetic resonance (CMR-LGE) in left ventricula...
Efficacy and immunological effects of neoadjuvant chemotherapy with gemcitabine and cisplatin for muscle-invasive bladder cancer
Objective To investigate the efficacy of neoadjuvant chemotherapy with gemcitabine and cisplatin (GC) in patients with muscle-invasive bladder cancer (MIBC), and its impact on immune function. Methods A retrospective a...