First Ward of Orthopedics Department.
Department of Obstetrics and Gynecology, First Affiliated Hospital of Jiamusi University, Jiamusi, China.
Medicine (Baltimore). 2021 May 14;100(19):e25345. doi: 10.1097/MD.0000000000025345.
This study explored the effect of percutaneous intervertebral foraminoscopic discectomy (PIFD) in the treatment of lumbar disc herniation (LDH).This retrospective study collected a total of 88 patient cases for inclusion. Epidemiological and clinical data of patients with LDH at the First Affiliated Hospital of Jiamusi University between May 2017 and January 2020 were retrospectively analyzed. Of those, 44 patients received PIFD and were allocated to an intervention group. The other 44 patients administrated fenestration discectomy (FD), and were assigned to a control group. We compared surgery time (minute), incision length (cm), duration of hospital stay after surgery (day), pain intensity (as checked by Visual Analogue Scale (VAS), health-related quality of life (as examined by Oswestry Disability Index, ODI), and complications between 2 groups.There were not significant differences in surgery time (minute) (P = .56), VAS (P = .33) and ODI (P = .46) after surgery between 2 groups. However, there were significant differences in incision size (cm) (P < .01) and length of hospital stay (day) (P < .01) after surgery between 2 groups. When compared before the surgery, patients in both groups had significant improvements in VAS (P < .01) and ODI (P < .01) after the surgery. Moreover, both groups had similar safety profiles (P > .05).The findings of this study showed that both PIFD and FD benefit patients with LDH. However, PIFD can benefit patients more than FD in the incision size and duration of hospital stay after surgery.
本研究探讨了经皮椎间孔镜下椎间盘切除术（PIFD）治疗腰椎间盘突出症（LDH）的效果。本回顾性研究共纳入 88 例患者。回顾性分析了 2017 年 5 月至 2020 年 1 月在佳木斯大学第一附属医院就诊的 LDH 患者的流行病学和临床资料。其中 44 例患者接受 PIFD 治疗，分为干预组；另 44 例患者行开窗椎间盘切除术（FD），分为对照组。比较两组手术时间（分钟）、切口长度（cm）、术后住院时间（天）、疼痛强度（视觉模拟评分法（VAS））、健康相关生活质量（Oswestry 功能障碍指数（ODI））及并发症。两组手术时间（分钟）（P=0.56）、术后 VAS（P=0.33）和 ODI（P=0.46）差异无统计学意义。然而，两组术后切口大小（cm）（P<0.01）和术后住院时间（天）（P<0.01）差异有统计学意义。与术前相比，两组患者术后 VAS（P<0.01）和 ODI（P<0.01）均明显改善。此外，两组安全性相似（P>0.05）。本研究结果表明，PIFD 和 FD 均有益于 LDH 患者。然而，与 FD 相比，PIFD 可使患者术后切口大小更小、术后住院时间更短。
