| Objective:To evaluate the efficacy of two surgical treatment of lumbar disc herniation:Percutaneous transfouraminal endoscope discectomy (PTED) and fenestration discectomy。Discussing the advantages and disadvantages of PTED, to in-depth grasp the minimally invasive surgery, and to provide a reference for more orthopedic and spine surgeons.Methods:Retrospectively analyzed28cases with two surgical treatment, each with14cases. Record the data of two sets, including gender, age, disease duration, segmental lesions, lesion type, operation time, amount of bleeding, disc of removed, ambulation time, complications, etc. Two groups of patients were assessed with VAS and ODI for three times, before surgery,1month after surgery,3months after surgery.The surgery efficacy of two sets can be judge with the low back pain surgery scoring criteria which is formulated by Chinese Academy of Orthopaedic spine group. The above results all be statistically analyzed.Results:All patients were followed up for more than3months.The Excellent rate of PTED group is92.86%, with85.71%to fenestration group. The excellent rate of PTED group is better than the fenestration group’s.These differences were statistically significant in the amount of bleeding, ambulation time, length of stay and the amount of bite bone. The score of VAS and ODI after surgery was better than the preoperative score in both groups, which difference was statistically significant.But the differences of scores between the two groups had no statistically significant.Conclusion:Combined with the advantages of traditional surgical and percutaneous techniques, PTED achieves the minimally invasive of traditional surgery, which can directly reach the herniated disc position, remove the diseased nucleus pulposus. and directly release the compression of Spinal canal. PTED could not only reduce surgical trauma, and receive the similar results as the traditional operation, which should be used as an effective treatment of lumbar disc hemiation. |
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