Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis.

Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis.
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经椎间孔镜椎间盘切除术治疗复发性腰椎间盘突出症的临床疗效:单中心回顾性分析

DOI:
10.1186/s12891-023-06148-9
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发表时间:
2023-01-12
影响因子:
2.3
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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目的探讨经孔内窥镜下髓核摘除术(TED)治疗复发性腰椎间盘突出症的临床疗效。对南昌大学第一附属医院疼痛管理科2015-2018年收治的31例复发性腰椎间盘突出症患者的临床资料进行回顾性分析。分别采用视觉模拟评分(VAS)和日本整形外科协会(JOA)评分评估患者小腿疼痛强度和神经功能的变化。采用改良的MacNab标准评定患者的优良率。与手术前的临床数据相比,翻修术后2年的视觉模拟评分显著降低(P < 0.01),而关节功能评分显著提高(P < 0.01)。术后2年优良率为83.9%。TED长期安全有效,适用于治疗复发性腰椎间盘突出症。
To investigate the clinical efficacy of transforaminal endoscopic discectomy (TED) in treating recurrent lumbar disc herniation. Clinical datal of 31 patients who were hospitalized in the Department of Pain Management, First Affiliated Hospital of Nanchang University, between 2015 and 2018 due to recurrent lumbar disc herniation were collected and analyzed retrospectively. Visual analogue scale (VAS) scores and Japanese Orthopedic Association (JOA) scores were used to assess alterations of patients’ leg pain intensity and nerve function, respectively. The Modified MacNab criteria were used to evaluate patients’ excellent and good rates. Compared to clinical data before surgery, there was a significant reduction in VAS scores (P < 0.01) along with a significant improvement in JOA scores (P < 0.01) at 2 years after revision surgery. The patients’ excellent and good rates were 83.9% at the 2 years after surgery. The TED is safe and effective in the long term and is applicable to the treatment of recurrent lumbar disc herniation.
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