Curative Effect of Percutaneous Transforaminal Endoscopic Discectomy and Interbody Fusion Decompression and Internal Fixation Under Quadrant Channel in the Treatment of Lumbar Degenerative Disease and the Influence on Perioperative Period and Complications
CUI Xianfeng, DU Jiaming, DING Xin
Liaoyang Central Hospital, Liaoning Liaoyang 111000, China
Abstract：Objective: To explore the therapeutic effects of percutaneous transforaminal endoscopic discectomy (PTED) and interbody fusion decompression and internal fixation under Quadrant channel in the treatment of lumbar degenerative disease, and the influence on perioperative period and complications. Methods: 150 patients with lumbar degenerative disease treated in the hospital between January 2016 and July 2020 were selected and randomly divided into observation group (76 cases) and control group (74 cases). The control group was treated with PTED, and the observation group was treated with interbody fusion decompression and internal fixation under Quadrant channel. Related parameters were compared. Results: The operation time of the observation group was longer than that of the control group (P<0.05). The postoperative drainage volume, intraoperative blood loss, length of incision, the incidences of urinary tract infection, urinary retention, intestinal obstruction and deep vein thrombosis, and the length of hospital stay in the observation group were less, shorter or lower than those in the control group (P<0.05). The visual analogue scale (VAS) scores of the observation group were lower than those of the control group on the 1st and 3rd days after operation, and at 3 months after operation (P<0.05). There was no difference at 6 months after operation (P>0.05). 3 months after operation, the low back pain score (Oswestry Disability Index, ODI) of the observation group was lower than that of the control group (P<0.05), but there was no difference at 6 months after operation (P>0.05). 3 months after operation, the generic quality of life inventory (GQOL-74) score of the observation group was higher than that of the control group (P<0.05). Conclusion: The duration of interbody fusion decompression and internal fixation under Quadrant channel is longer, but it can significantly improve the prognosis of patients with lumbar degenerative disease, reduce pain and complications, significantly improve the patients’ quality of life and lumbar function, and promote postoperative recovery.
崔显峰, 都嘉明, 丁鑫. 经皮椎间孔镜髓核摘除与quadrant通道下椎间融合减压内固定治疗腰椎退行性病变疗效及对围术期和并发症的影响[J]. 河北医学, 2021, 27(10): 1666-1669.
CUI Xianfeng, DU Jiaming, DING Xin. Curative Effect of Percutaneous Transforaminal Endoscopic Discectomy and Interbody Fusion Decompression and Internal Fixation Under Quadrant Channel in the Treatment of Lumbar Degenerative Disease and the Influence on Perioperative Period and Complications. HeBei Med, 2021, 27(10): 1666-1669.
2021, Vol. 27 
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