Published online Jul 26, 2020. doi: 10.12998/wjcc.v8.i14.2942
Peer-review started: March 22, 2020
First decision: April 14, 2020
Revised: April 24, 2020
Accepted: May 26, 2020
Article in press: May 26, 2020
Published online: July 26, 2020
Processing time: 124 Days and 10.4 Hours
Lumbar disc herniation is a common disease. Endoscopic treatment may have more advantages than traditional surgery.
To compare the clinical efficacy and safety of microendoscopic discectomy (MED) and open discectomy with lamina nucleus enucleation in the treatment of single-segment lumbar intervertebral disc herniation.
Ninety-six patients who were operated at our hospital were selected for this study. Patients with single-segment lumbar disc herniation were admitted to the hospital from March 2018 to March 2019 and were randomly divided into the observation group and the control group with 48 cases in each group. The former group underwent lumbar discectomy and the latter underwent laparotomy and nucleus pulpectomy. Surgical effects were compared between the two groups.
In terms of surgical indicators, the observation group had a longer operation time, shorter postoperative bedtime and hospital stay, less intraoperative blood loss, and smaller incision length than the control group (P < 0.05). The excellent recovery rate did not differ significantly between the observation group (93.75%) and the control group (91.67%). Visual analogue scale pain scores were significantly lower in the observation group than in the control group at 1 d, 3 d, 1 mo, and 6 mo after surgery (P < 0.05). The incidence of complications was significantly lower in the observation group than in the control group (6.25% vs 22.92%, P < 0.05).
Both MED and open discectomy can effectively improve single-segment lumbar disc herniation, but MED is associated with less trauma, less bleeding, and a lower incidence of complications.
Core tip: Microendoscopic discectomy has less trauma, less bleeding, and a lower incidence of complications compared with open discectomy in the treatment of single-segment lumbar disc herniation. Patients were able to get out of bed faster, with reduced pain, and recovered sooner.