Abstract 【Objective】 To compare the therapeutic effect of Lumbar endoscopic surgery and percutaneous puncture surgery in elderly patients with Lumbar disc herniation (LDH). 【Methods】A total of 100 LDH patients who received surgical treatment in our hospital from January 2023 to January 2024 were selected and divided into control group (percutaneous puncture surgery) and observation group (lumbar endoscopic surgery) according to different treatment methods, with 50 cases in each group. The efficacy rate, visual analogue scale (VAS), Oswestry disability index (ODI), quality of life and psychological status were compared between the two groups. 【Results】3 months after treatment and at the last follow-up, the VAS score of lower back, VAS score of lower limb and ODI score of the observation group were lower than those of the control group (P<0.05). After treatment, the curative effect rate of observation group was 92.00% (46/50), which was significantly higher than that of the control group [72.00% (36/50)], the difference was statistically significant (P<0.05). After treatment, the life quality score of the observation group was higher than that of the control group, and the scores of the self-rating Anxiety scale (SAS) and self-rating Depression scale (SDS) were lower than that of the control group, with statistical significance (P<0.05).【Conclusion】Compared with percutaneous puncture surgery, endoscopic spinal surgery is effective in the treatment of LDH patients, which can significantly improve the pain symptoms and adverse emotions of elderly patients, and improve the quality of life of patients. However, in the selection of surgical methods, the best operation method suitable for patients should be selected according to the specific conditions of patients.
MA Hongna,WANG Xiaoling,TAN Lu, et al. Comparison of Curative Effect of Different Surgical Methods on Elderly Patients with Lumbar Disc Herniation[J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(3): 369-372.
2025, Vol. 42 
