经皮椎间孔镜治疗腰椎间盘突出症的临床效果

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Abstract Objective To observe the clinical effect of percutaneous endoscopic lumbar discectomy (PELD) in the treatment of patients with lumbar disc herniation. Methods From January 2013 to January 2016, in 180 Hospital of PLA, 126 patients with lumbar disc herniation were divided into two groups according to the random number table, with 63 cases in each group. The observation group was given PELD, the control group was given fenestration discectomy, they were followed up for 12 months. The operative incision length, operation time, hemorrhage volume and hospitalization days of two groups were compared. The clinical outcome were evaluated by visual analogue score (VAS), Oswestry disability index (ODI) and modified MacNab standard. Results Operative incision length, hemorrhage volume and hospitalization days in observation group was significantly less than control group, the differences were statistically significant (P < 0.05). The ODI and VAS of two groups were improved after operation, and the improvement in observation group was significantly more obvious than control group, the differences were statistically significant (P < 0.05). The curative effect evaluated modified MacNab standard of observation group was better than control group, the difference was statistically significant (P < 0.05). Conclusion The application of PELD in the treatment of lumbar disc herniation can reduce hemorrhage volume, decrease operative incision length, shorten operation time, improve treatment efficacy and improve patients, quality of life. It is worth of clinical promotion.

Key words： Lumbar disc herniation Percutaneous transforaminal endoscopy Minimally invasive operation Discectomy

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	FU Zuchang1 WANG Qingkeng1 YOU Ruijin1▲ ZHOU Panyu2

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FU Zuchang1 WANG Qingkeng1 YOU Ruijin1▲ ZHOU Panyu2. Clinical effect of percutaneous endoscopic lumbar discectomy for lumbar disc herniation[J]. 中国医药导报, 2017, 14(18): 80-83.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I18/80

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