摘要
Abstract
Objective To evaluate the primary clinical outcome of percutaneous transforaminal endoscopic lumbar discectomy for lumbar disc herniation .Methods 117 patients who were confirmed lubmar disc herniation were treated with percutaneous transforaminal endoscopic lumbar discectomy by TESSYS technique from December 2013 to May 2014 .The preoperative and postoperative visual analogue scale(VAS) for low back pain and sciatica at different time points were compared .The Oswestry disability index(ODI) was evaluated to judge the lumbar function .The MacNab criteria was employed to grade the clinical out‐come at 3rd month after operation .Results 117 cases of operation were all completed successfully .The mean VAS score of low back and sciatica decreased from preoperative 6.98 and 8.19 respectively to postoperative 3.21 and 2.83 at 1‐day follow‐up , 2.06 and 2.45 at 1‐month follow‐up ,1.64 and 1.92 at 3‐month follow‐up(P< 0.01) .ODI improved from preoperative 75.93%to 21.46% at 3‐month follow‐up .According to the Macnab criteria ,there were excellent outcomes in 51 patients (43.59% ) , good outcomes in 59 patients(50.43% ) fair outcomes in 7 patients (5.98% ) and no poor outcome at the last follow‐up .And the excellent‐to‐good rate was 94.02% .Conclusion Percutaneous transforaminal endoscopic lumbar discectomy by TESSYS technique provides an effective way to treat lumbar disc herniation due to its high percentage of patient satisfaction ,which has many advantages such as little trauma ,brief hospitalization ,fewer complications ,faster post‐surgical rehabilitation .关键词
腰椎间盘突出症/经皮椎间孔内窥镜/椎间盘切除术/微创治疗Key words
lumbar disc herniation/endoscopy/fercutaneous diskectomy/minimally invasive分类
医药卫生
