Abstract：To observe and analyze the short-term efficacy of percutaneous endoscopic lumbar discectomy surgery, 91 patients diagnosed as LDH and treated with PELD operation in our department from July 2015 to January 2017 were collected retrospectively. During the 6-month follow-up, we used visual analogue scale (VAS) and Oswestry disability index (ODI) to evaluate preoperative and postoperative (3 day, 3 month, 6 month) disturbance indexes of the patient. The operation time, intraoperative blood loss, hospital stay, recurrence rate and complication were observed and recorded using revised Macnab criteria for efficacy evaluation. The postoperative (3 days, 3 and 6 months) VAS and ODI values of the waist and leg were significantly decreased (P<0.05). There was no significant difference between 3 days from 3 months and 6 months postoperative VAS values for lumbar and leg (P>0.05). VAS scores of leg pain were significantly reduced 3 days after surgery as compared to 3 months after surgery (P<0.05). The VAS score of the lumbar at 6 months after surgery was reduced compared to 3 days after surgery, but the difference was not statistically significant (P>0.05). The improved Macnab standard was 88%. The average blood loss was 35mL; the average length of stay was 8 days. Percutaneous endoscopic lumbar discectomy is quite safe, effective and of less traumatic outcome with fewer complications and has a significant effect on rapid rehabilitation after the operation.
[1] Altinkeya N, Cekinmez M. Lumber multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging[J]. Skeletal Radiology, 2016, 45(1):73-77.
[2] Strömqvist F, Strömqvist B, Jönsson B, et a1. Outcome of surgical treatment of lumbar disc herniation in young individuals[J]. The Bone & Joint Journal, 2015, 97(12):1675-1682.
[3] Kleinpeter G I, Markowitsch M, Böck F. Percutaneous endoscopic lumbar discectomy:Minimally invasive, but perhaps only minimally useful?[J]. Surgical Neurology, 1995, 43(6):534-539.
[4] Yang S C, Chen W J, Chen H S, et a1. Extended indications of percutaneous endoscopic lavage and drainage for the treatment of lumbar infectious spondylitis[J]. European Spine Journal, 2014, 23(4):846-853.
[5] 李长青, 周跃, 王建, 等. 经皮内窥镜下手术治疗腰椎间盘突出症的并发症及其防治策略[J]. 中国脊柱脊髓杂志, 2012, 22(11):969-974.
[6] Gioffrè G, Impusino A, Tacconi L. Retroperitoneal hematoma after minimally invasive lumbar discectomy:Is the percutaneous endoscopic approach really safe?[J]. Journal of Neurosurgical Sciences, 2019, 63(2):231-233.
[7] Shiboi R, Oshima Y, Kaneko T, et a1. Different operative findings of cases predicted to be symptomatic discal pseudocysts after percutaneous endoscopic lumbar discectomy[J]. The Journal of Spine Surgery, 2017, 3(2):233-237.
[8] 李军, 付强. 经皮内镜椎板间入路治疗钙化性腰椎间盘突出症早起临床疗效分析. 中国骨与关节杂志, 2014, 3(8):597-602.
[9] Bemard H.Patient warming in surgery and the enhanced recovery[J]. British journal of nursing, 2013, 22(6):319-325.
[10] Munday J, Hines SJane, Chang A M. Evidence Utilization project:Management of inadvertent perioperative hypothermia. The challenges of implementing best practice recommendations in the perioperative environment[J]. International Journal of Evidence-Based Healthcare, 2013, 11(4):305-311.
2020, Vol. 38 
