Xin yixue (Aug 2024)

Clinical application of transforaminal endoscope-guided module in treatment of lumbar disc herniation by transforaminal endoscopic

  • LIN Xiaqing, YANG Ping, WEN Ziyang, YUAN Shimin

DOI
https://doi.org/10.3969/j.issn.0253-9802.2024.08.004
Journal volume & issue
Vol. 55, no. 8
pp. 608 – 616

Abstract

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Objective To evaluate the clinical application value of transforaminal endoscope-guided module in the treatment of lumbar disc herniation by transforaminal endoscopic. Methods Sixty patients with L5 / S1 lumbar disc herniation were randomly divided into the module group and control group， with 30 cases in each group. In the module group， self-designed transforaminal endoscope-guided module was utilized to assist puncture， and conventional manual puncture was adopted to place the working channel in control group. The success rate of one-time puncture， positioning puncture time and intraoperative X-ray fluoroscopy times were compared between two groups， and the incidence of complications was observed. The Visual Analogue Scale （VAS） score and Oswestry Disability Index （ODI） score of the hip and lower limbs at postoperative 3 months were compared between two groups. Postoperative modified Mac Nab score was employed to evaluate clinical efficacy between two groups. Results All patients successfully completed the operation. Compared with the control group， the success rate of one-time puncture was higher， positioning puncture time was shorter and the times of intraoperative X-ray fluoroscopy was less in the module group （all P <0.05）. There was no statistical significance in the incidence of intraoperative complications between two groups （P >0.05）， and no severe postoperative complications were noted in two groups. In two groups， the VAS score and ODI score at postoperative 3 months were less compared with preoperative levels （both P <0.05）， and there was no statistical significance between two groups （both P >0.05），however， the difference of VAS between preoperative and postoperative values was statistically significant（P <0.05）. There was no statistical significance in the excellent rate of modified Mac Nab score between the module （83.3% （25/30））and control groups （80.0% （24/30）， P >0.05）. Conclusions Transforaminal endoscope-guided module is safe and convenient. This module can effectively shorten puncture time， enhance puncture efficiency and minimize iatrogenic injuries， which is worthy of clinical application.

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