Chen Feifei, Yang Guihe, Wang Jinjin, Ge Zhongpeng, Wang Heran, Guo Yifei, Yang Heng, Jing Xingzhi, Liu Xiaoyang, Cui Xingang
Department of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China.
Department of Spine Surgery, Shandong Provincial Hospital, Shandong University, Jinan 250021, China.
J Pers Med. 2023 Mar 20;13(3):552. doi: 10.3390/jpm13030552.
To define the characteristics of Mini LDH, develop new diagnostic references and examine the clinical efficacy of percutaneous endoscopic lumbar discectomy via a transforaminal approach (TF-PELD) for it.
A total of 72 patients who underwent TF-PELD with Mini LDH from September 2019 to October 2022 were enrolled in this retrospective study. The patients' basic information, symptoms, number of outpatient visits, duration of conservative treatment, physical examination findings and so on were obtained from the medical records. Clinical effects of TF-PELD for Mini LDH were assessed by means of the following: the Visual Analog Scale (VAS) for low back pain (LBP) and leg pain, Oswestry Disability Index (ODI) for functional status assessment and Modified Mac Nab criteria for patient satisfaction.
Mini LDH have specific clinical characteristics and imaging features. All included patients achieved obvious pain relief after TF-PELD surgery. Pain scores were repeated at postoperative day 1 and 1, 3, 6, 12 and 24 months later. Results were statistically analyzed. The average VAS-Back, VAS-Leg and ODI scores were all significantly reduced at the first postoperative day and gradually decreased with the follow-up time continuing. In total, 66 out of 72 patients received an excellent or good recovery and no poor result was reported according to the Modified Mac Nab criteria.
Mini LDH is a type of LDH with special characteristics and in need of correct diagnosis and active treatment in clinical work. TF-PELD was also found to be an effective procedure for the treatment of Mini LDH.
明确微型腰椎间盘突出症（Mini LDH）的特征，制定新的诊断参考标准，并探讨经椎间孔入路经皮内镜下腰椎间盘切除术（TF-PELD）治疗Mini LDH的临床疗效。
本回顾性研究纳入了2019年9月至2022年10月期间接受TF-PELD治疗Mini LDH的72例患者。从病历中获取患者的基本信息、症状、门诊就诊次数、保守治疗时间、体格检查结果等。通过以下方式评估TF-PELD治疗Mini LDH的临床效果：采用视觉模拟量表（VAS）评估腰痛（LBP）和腿痛，采用Oswestry功能障碍指数（ODI）评估功能状态，采用改良Mac Nab标准评估患者满意度。
Mini LDH具有特定的临床特征和影像学表现。所有纳入患者在TF-PELD手术后均获得明显的疼痛缓解。术后第1天以及术后1、3、6、12和24个月重复进行疼痛评分，并对结果进行统计学分析。术后第1天，平均VAS-背部、VAS-腿部和ODI评分均显著降低，并随着随访时间的延长而逐渐下降。根据改良Mac Nab标准，72例患者中共有66例恢复良好，未报告不良结果。
Mini LDH是一种具有特殊特征的腰椎间盘突出症类型，在临床工作中需要正确诊断和积极治疗。研究还发现TF-PELD是治疗Mini LDH的有效方法。
