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| Surgery Optimization and Postoperative Recovery of Lumbar Disc Herniation After Posterolateral Percutaneous Transforaminal Endoscopic Discectomy |
| LI Guangbao, YIN Jianwen, ZHANG Yiqun, et al |
| The First Affiliated Hospital of Shaoyang University, Hunan Shaoyang 422000, China |
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Abstract Objective: To explore the surgical optimization and postoperative recovery of lumbar disc herniation after the posterolateral percutaneous transforaminal endoscopic discectomy. Methods: A total of 128 patients with lumbar disc herniation who were treated in our hospital from June 2015 to September 2018 were selected as the research subjects and divided into a control group and an observation group according to the random number table method, with 64 patients in each group. For surgery, the observation group had percutaneous lateral posterior intervertebral foramina. The bone recovery and dysfunction of the two groups of patients were compared, and the treatment effects of the two groups of patients were compared. Results:The subjective symptoms, clinical signs, and limits of daily activities in the observation group were significantly higher than those in the control group, and the differences were statistically significant (P<0.05). The waist and leg pain, lifting weights, personal living conditions, sitting conditions and the standing status, walking status, sleeping status, and standing status scores were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). There was no significant difference in the efficacy, effective, and ineffective rates between the two groups of patients and the difference was not statistically significant (P>0.05). There was no significant difference in the total effective rate between the two groups of patients, and the difference was not statistically significant (P>0.05). Conclusion: Percutaneous posterior intervertebral foraminal technology has significant curative effect and complete pressure release, and has the advantages of minimally invasive and clear surgical field. The postoperative bone recovery is faster and the incidence of dysfunction is lower.
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2020, Vol. 26 
