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| Clinical Comparison of Percutaneous Transforaminal Discectomy and Discoscopic in L5/S1 Discectomy |
| FAN Hong, MA Yong, WANG Canfeng, et al |
| The Third People's Hospital of Yunnan, Yunnan Kunming 650011, China |
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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.
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2019, Vol. 25 
