Abstract

Objective To investigate the effect of percutaneous transforaminal endoscopic surgery for lumbar prolapse upwards type disc herniation. Methods According to the digital table, 90 patients with lumbar prolapse upwards type disc herniation were randomly divide into the observation group and the control group, 45 cases in each group.The observation group was treated with percutaneous transforaminal endoscopic surgery, the control group was treated with conventional open surgery.The curative effect, operation and adverse reactions were compared between the two groups. Results All patients were satisfied with the location, and they were completely removed from the nucleus.Compared with the control group, the operation time[(75.3±23.1)min vs.(103.4±35.4)min]and hospitalization time[(6.8±1.2)d vs.(8.7±1.8)d]of the observation group were shorter, the bleeding volume[(24.5±8.5)mL vs.(51.6±12.7)mL]was lower, the differences were statistically significant(t=4.453, 5.632, 4.269, all P 0.05). Conclusion Percutaneous endoscopic discectomy surgery in the treatment of lumbar prolapse upwards type disc herniation is reliable, and it has less trauma and shorter hospital stay. Key words: Intervertebral disk displacement; Diskectomy, percutaneous; Comparative effectiveness research

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