Abstract：Objective: To compare the clinical efficacy of percutaneous transforaminal and discectomy with L5/S1 discectomy. Methods: 85 patients with lumbar disc herniation admitted in our hospital from September 2016 to August 2017 were randomly divided into observation group (41 cases) and control group (44 cases) according to simple random grouping. The observation group completed the discectomy with percutaneous transforaminal microsurgery, and the control group underwent discectomy under discoscopy. The clinical efficacy, intraoperative and postoperative conditions, dysfunction index (ODI), visual analog scale (VAS), and complications were compared between the two groups. Results: After treatment, the total clinical effective rate of the observation group was significantly higher than that of the control group (P<0.05). The length of incision, operation time, number of fluoroscopy, and length of hospital stay in the observation group were significantly lower than those in the control group (P<0.05). Before operation, there was no significant difference in ODI, low back pain VAS score and leg pain VAS score between the two groups (P>0.05). At 6 months after operation, the ODI, low back pain VAS score and leg pain VAS score of the observation group were significantly lower than the control group (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). Conclusion: Percutaneous transforaminal L5/S1 discectomy has a shorter incision length, less operative time, number of fluoroscopy, and less hospital stay. The clinical effect is good, which can effectively relieve lumbar function and waist and leg pain.
樊宏, 马永, 王灿锋, 刘祥荣, 孟增东. 经皮椎间孔镜与椎间盘镜下L5/S1椎间盘切除术的临床疗效比较[J]. 河北医学, 2019, 25(3): 636-638.
FAN Hong, MA Yong, WANG Canfeng, et al. Clinical Comparison of Percutaneous Transforaminal Discectomy and Discoscopic in L5/S1 Discectomy. HeBei Med, 2019, 25(3): 636-638.
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2019, Vol. 25 
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