Transforaminal endoscopic discectomy versus conventional microdiscectomy for lumbar discherniation: a systematic review and meta-analysis.
Transforaminal endoscopic discectomy versus conventional microdiscectomy for lumbar discherniation: a systematic review and meta-analysis.
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经椎间孔内窥镜椎间盘切除术与传统显微椎间盘切除术治疗腰椎间盘突出：系统评价和荟萃分析
DOI：
10.1186/s13018-018-0868-0
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发表时间：
2018-07-05
影响因子：
2.6
通讯作者：
Feng S
中科院分区：
文献类型：
--
作者：
Zhang B;Liu S;Liu J;Yu B;Guo W;Li Y;Liu Y;Ruan W;Ning G;Feng S
开放性显微椎间盘切除术是治疗腰椎间盘突出症导致神经根病减压最常见的手术方式。到目前为止，已经开发出多种微创技术。在过去几十年中，内镜技术已发展用于进行椎间盘切除术。经椎间孔内镜下椎间盘切除术（TED）采用后外侧入路，是在内镜技术发展的基础上演变而来的。
使用PubMed、EMBASE和Cochrane图书馆数据库对英文文献进行了系统的文献检索。符合我们纳入标准的随机试验和观察性研究随后被纳入。两名评审员分别提取数据并评估偏倚风险。所有统计分析均使用Review Manager 5.3进行。
纳入了5项前瞻性研究和4项回顾性研究，涉及1527名患者。荟萃分析结果表明，两组在住院时间上存在显著差异（均数差 = -8.41，95%置信区间 -10.26，-6.56；p值 < 0.00001）。然而，在腿部视觉模拟评分（VAS）、Oswestry功能障碍指数（ODI）评分以及并发症发生率和复发率方面没有显著差异。
经椎间孔内镜下椎间盘切除术在住院时间上优于开放性显微椎间盘切除术。然而，在治疗腰椎间盘突出症（LDH）时，TED和开放性显微椎间盘切除术（MD）在腿痛、功能恢复以及并发症发生率方面没有差异。
BackgroundThe open microdiscectomy is the most common surgical procedure for the decompression of radiculopathy caused by lumbar disk herniation. To date, a variety of minimally invasive (MI) techniques have been developed. In the last decades, endoscopic techniques have been developed to perform discectomy. The transforaminal endoscopic discectomy (TED) with posterolateral access evolved out of the development of endoscopic techniques.MethodsA systematic literature search was performed using the PubMed, EMBASE, and Cochrane Library databases for trials written in English. The randomized trials and observational studies that met our inclusion criteria were subsequently included. Two reviewers respectively extracted data and estimated the risk of bias. All statistical analyses were performed using Review Manager 5.3.ResultsFive prospective and four retrospective studies involving 1527 patients were included. The results of the meta-analysis indicated that there were significant differences between the two groups in length of hospital stay (MD = − 8.41, 95% CI − 10.26, − 6.56;pvalue < 0.00001). However, there were no significant differences in the leg visual analog scale (VAS) scores, the Oswestry Disability Index (ODI) scores, and the incidence of complications and recurrence.ConclusionsThe transforaminal endoscopic discectomy is superior to open microdiscectomy in the length of hospital stay. However, there were no differences in leg pain, functional recovery, and incidence of complications between TED and MD in treating LDH.
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影响因子：
3
作者：
Choi, Gun;Lee, Sang-Ho;Chae, Yu Sik
通讯作者：
Chae, Yu Sik
影响因子：
4.1
作者：
Kambin, P;Casey, K;Zhou, LQ
通讯作者：
Zhou, LQ
影响因子：
4.1
作者：
Lew, SM;Mehalic, TF;Fagone, KL
通讯作者：
Fagone, KL
影响因子：
2.9
作者：
Lequin MB;Verbaan D;Jacobs WC;Brand R;Bouma GJ;Vandertop WP;Peul WC;Leiden-The Hague Spine Intervention Prognostic Study Group;Wilco C Peul;Bart W Koes;Ralph T W M Thomeer;Wilbert B van den Hout;Ronald Brand
通讯作者：
Ronald Brand
DOI：
10.2106/00004623-199907000-00008
发表时间：
1999-07-01
影响因子：
5.3
作者：
Hermantin, FU;Peters, T;Kambin, P
通讯作者：
Kambin, P