Abstract：【Objective】 To investigate the efficacy and safety of microsurgical lumbar discectomy (MSLD) and percutaneous endoscopic lumbar discectomy (PELD)in the treatment of lumbar disc herniation. 【Methods】 A total of 486 patients with lumbar disc herniation undergoing minimally invasive surgery at Loudi Central Hospital from December 2013 to May 2022 were retrospectively analyzed. Among them, 192 patients underwent MSLD treatment (the MSLD group) and 294 patients underwent PELD (the PEID group). The pain visual simulation scores (visual analogue scale, VAS), the muscle strength score (manual muscle testing, MMT) at 1 week, 3 months, 6 months, 12 months and 24 months after surgery and complication rates were compared between the two groups. 【Results】 The VAS scores of the two groups at each time point after surgery were significantly lower than those before surgery(P<0.05); however, there were no statistically significant differences in the VAS scores at each time point before and after treatment between the two groups (P>0.05). The MMT scores of the two groups of patients at each time point after surgery were significantly higher than those before surgery(P<0.05); however, there were no statistically significant differences in the MMT scores at each time point before and after treatment between the two groups (P>0.05).The total complication rate in the MSLD group was 2.60%(5/192), which was significantly lower than the 8.50%(25/294) in the PELD group, and the difference was statistically significant (P<0.05). 【Conclusion】 Both MSLD and PELD can effectively reduce the pain of patients with lumbar disc herniation. PELD is operated under local anesthesia, which can check the muscle strength of lower limbs, the feedback of pain and numbness during the operation. Its warning effect can reduce nerve damage and reduce the incidence of complications.
陈涛, 童新宙, 郑阳, 康忠山, 康鹏程, 陈良龙. 显微镜和椎间孔镜下腰椎间盘切除术治疗腰椎间盘突出症的临床疗效*[J]. 医学临床研究, 2024, 41(1): 22-24.
CHEN Tao, TONG Xinzhou, ZHENG Yang, et al. Clinical Efficacy of Microscopic and Foraminal Surgery in the Treatment of Lumbar Disc Herniation. JOURNAL OF CLINICAL RESEARCH, 2024, 41(1): 22-24.
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2024, Vol. 41 
