Curative Effect Evaluation Of Microendoscopic Discectomy And Open Discectomy In Treating Lumbar Disc Herniation

Objective:To observe and analyze the difference of microendoscopic discectomy(MED) with the traditional open discectomy (OD) of the treatment of lumbar disc herniation (LDH) in the analysis of clinical efficacy between the two groups of surgical patients with traumathe degree of subjective satisfaction, as well as its therapeutic effect. Through this study, carried out for the further application of minimally invasive surgery for lumbar disc herniation, the clinical and experimental evidence.Methods:from May2011to March2012to confirm the diagnosis of a single lumbar disc herniation in46patients,20of which routine posterior disc endoscopic discectomy for the MED group, another26patients with traditional open discectomy for the OD group. Two groups were compared to the length of operation time, incision length, blood loss and postoperative hospital stay, perioperative incisional pain Visual Analog Scale (VAS) scores of two groups of patients, preoperative and postoperative March Oswestry Disability Index (ODI) assess the degree of improvement, record the hospital before surgery and1day, after two days a week in peripheral blood serum creatine kinase (CK), erythrocyte sedimentation rate, the C-reactive protein (CRP).Results:The MED group compared with the OD group, the operative time is short, small incision, less blood loss, shorter postoperative hospital stay, postoperative wound pain, but the recent ODI to improve to a similar level of two groups of patients with preoperative serum CK, ESR and CRP is similar to the two groups after operation compared with preoperative elevated, but the OD group one day after two days and one week in serum CK, ESR, CRP increased significantly over the MED group.Conclusion:The posterior disc microscope, the nucleus pulposus removal surgery and traditional open surgery for lumbar disc herniation, compared with shorter operative time, a small incision, less bleeding, faster recovery, less pain and other obvious advantages, and the patient back the less muscle damage and trauma on the body the body was significantly lower than open surgery, minimally invasive characteristics.