摘要
Abstract
Objective To evaluate the clinical efficacy of improved transforaminal endoscopic spine system (TESSYS) technique and fenestration laminectomy discectomy (FLD) technique in the treatment of lumbar disc herniation .Methods 80 cases of patients with lumbar disc herniation were selected ,31 cases were treated with improved TESSYS treatment (TESSYS group ,n=31) ,49 cases were treated with FLD (group FLD ,n=49) .The operation time ,intraoperative bleeding volume ,postoperative bed time and the time of hospitaliza-tion ,preoperative and postoperative 1 week and last follow-up of VAS ,JOA and ODI score were compared be-tween the two groups ,follow-up of 1 years ,two groups of patients with complications and curative effect were compared .Results The results showed that the improved operation time of TESSYS group was significantly longer than that of group FLD ,intraoperative bleeding volume ,postoperative bed time of bleeding and hospi-talization time were significantly less than those of FLD group (P<0 .01);the two groups of patients before treatment and at the end of the follow-up of VAS ,JOA and ODI score difference were not statistically signifi-cant (P>0 .05) ,improved TESSYS group after treatment for 1 weeks VAS and ODI scores were significantly lower than those of group FLD ,and JOA score significantly higher than group FLD (P<0 .05);two patients were 6 -12 months of follow-up after operation showed no complications ,improved MacNab standard ,im-proved TESSYS group excellent rate was 90 .32％ ,higher than that of FLD group 83 .67％ but the difference was not statistically significant (P>0 .05) .Conclusion The improved TESSYS technique and FLD treatment of lumbar disc herniation can achieve short-term efficacy of the same ,but the improved TESSYS technique has small trauma ,postoperative pain was relieved ,quick recovery ,strictly follow the indications for surgery in the premise ,all the treatment of lumbar disc herniation and operation .关键词
改良TESSYS技术/FLD技术/腰间盘突出症/椎间孔镜Key words
improved transforaminal endoscopic spine system/fenestration laminectomy discectomy/protrusion of lumbar intervertebral disc/intervertebral foramen endoscope分类
临床医学
