Long-Term Outcomes Of Nicroendos Copic Discectomy For Lumbar Disc Herniation

Objective:Under review research rear guard endoscope waist intervertebral disc nucleus pulposus excision technique (MED) forward clinical curative effect and influencing factorThrough Pass the compare of pan outstanding disease surgical operation sufferer different type long-term curative effect is vs the waist intervertebral disc prominent sickness technical superiority, adapts the card curative effect and the security after its surgery carries on the appraisal, understood that MED the treatment waist intervertebral disc prominent sickness clinical practice value, and to affects the surgery curative effect the factor to carry on the analysis.Methods:Through February, 2000 to June, 2005,560 Waist intervertebral disc prominent sickness surgical operation sufferer progress with visit, as to it's the long-term curative effect progress synthesize analysis, according to Westry function obstruction index, grade point standard and improve MacNab grade point, China orthopedics academic association the spinal column learn a set of low back pain surgical operation grade point the standard carry on an appraisal to the curative effect.Results: With visit 560, totally the received investigation wraps feedback letter 200, random come with visit to succeed 148, with visit to lead 62.1%.According to the Westry function obstruction index and the grade point standard, Be analyzed by statistics, each good rate compare p=0.000<0.01, so think each good rate anti equal or anti whole equalities.Of diverse rate is 22 compares, think 1.MED taking care of the good rate of scope set is higher than micro to s Waist intervertebral disc prominent sickness a window set, but the difference of two good rates nonexistent statistics meaning;(p>0.05)2.MED taking care of the good rate of scope set is higher than the whole Waist intervertebral disc prominent sickness and it the difference of good rate exist statistics meaning;(p<0.01)3. The micro sets laminectomy the good rate that open a window set is higher than the whole Waist intervertebral disc prominent sickness and Waist intervertebral disc prominent sickness and it the difference of the good rate exist statistics meaning;4.The good rate of the quasi laminectomyexcision set is higher than the whole laminectomyexcision set, two the difference of the good rate exist statistics meaning.The age, sex and function toughens, mental factor etc. have been already effected to the long-term curative effect.(P<0.05)Conclusion:The micro intervertebral disc mirror nucleus pulposus excision technique has the surgery wound to be small, the nerve root reduced pressure is thorough, after the technique, restores the quick characteristic, through further expands the surgery indication to the surgery instrument design's research and the discussion, chooses the appropriate adaptation card and the careful operation is the surgery successful key. Affects under the endoscope the waist intervertebral disc nucleus pulposus excision technique (MED) the forward clinical curative effect and the influencing factor are many, should give the full consideration.