The Curative Effect Comparison Of Percutaneous Transforaminal Endoscopic Discectomy And Intervertebral Fenestration In The Treatment Of Lumbar Disc Herniation

ObjectiveTo evaluate the efficacy of two surgical treatments of lumbar disc herniation: Percutaneous transfouraminal endoscope discectomy(PTED) and fenestration discectomy. Analyzing the advantages and disadvantages of both two surgical treatments.Methods86 patients with primary lumbar disc herniation were divided into transforaminal endoscope group (36 cases) and fenestration group(50 cases). The patients of transforaminal endoscope group underwent percutaneous transforaminal endoscope discectomy under local anesthesia, the patients of fenestration group were treated with intervertebral fenestration discectomy under peridural anesthesia by posterior approach. The length of incision, blood loss during operation, operation time, the data of VAS before and after operation, hospitalization duration and postoperative bed time were compared between the two groups, the effects was evaluated according to MacNab criteria.ResultsThe follow-up time was 1 year. At the latest follow-up, the excellent and good rate was 92% in transforaminal endoscope group and 94% in fenestration group(P> 0.05) transforaminal endoscope group was significantly lower than fenestration group about the length of incision, blood loss during operation, VAS of lumbar pain after operation, hospitalization duration and postoperative bed time (P< 0.05),higher about the operation time and costs.1,3,12 months postoperation, there was no difference in the two groups of lumbar pain VAS (P> 0.05).ConclusionBoth percutaneous transforaminal endoscope discectomy and intervertebral fenestration discectomy are effectively for the patient’s symptoms caused by nerve root compression, but the percutaneous transforaminal endoscopic discectomy is a better method in the treatment of lumbar disc herniation.