ABUDOUREXITI Tuerhongjiang, MENG Xiangyu, REHEMA Sulaiman, MA Liang, LIU Yuntao, HE Chuanyu
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.
