Percutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study

Objective To evaluate the clinical efficacy of percutaneous endoscopic lumbar discectomy in the treatment of lumbar disc herniation. Methods Patients who received single-level percutaneous endoscopic lumbar discectomy for lumbar disc herniation in our department from January 2012 to December 2015 we...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	LI Yueyang, LI Haiyin, CHANG Xian, HU Zhilei, LIU Chenhao, GAO Xiaoxin, ZHANG Yuyao, LI Changqing
Formato:	article
Lenguaje:	ZH
Publicado:	Editorial Office of Journal of Third Military Medical University 2021
Materias:	lumbar disc herniation percutaneous endoscopic lumbar discectomy surgical treatment effect Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7e927024063f4de9b2341b3e6c4e2bec
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7e927024063f4de9b2341b3e6c4e2bec
record_format	dspace
spelling	oai:doaj.org-article:7e927024063f4de9b2341b3e6c4e2bec2021-11-28T10:56:00ZPercutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study10.16016/j.1000-5404.2021060051000-5404https://doaj.org/article/7e927024063f4de9b2341b3e6c4e2bec2021-11-01T00:00:00Zhttp://aammt.tmmu.edu.cn/Upload/rhtml/202106005.htmhttps://doaj.org/toc/1000-5404Objective To evaluate the clinical efficacy of percutaneous endoscopic lumbar discectomy in the treatment of lumbar disc herniation. Methods Patients who received single-level percutaneous endoscopic lumbar discectomy for lumbar disc herniation in our department from January 2012 to December 2015 were recruited and followed up for at least 5 years. Oswestry disability index (ODI) and visual analogue scale (VAS) scores of waist and leg were evaluated preoperatively, 3, 6 and 12 months postoperatively, and at the last follow-up. Postoperative complications and their treatment were recorded and analyzed. Results A total of 1 807 cases were included, of which, 1 706 cases were followed up and 101 cases were lost to follow-up, with a follow-up rate of 94.08%. The mean follow-up time was 6.36±1.08 years. The ODI scores at 3, 6 and 12 months postoperatively and last follow-up were 26.01±7.48, 20.87±7.50, 17.25±7.77 and 17.26±13.53, respectively, which were significantly lower than that preoperatively (58.23±13.06). The ODI score at 12 months postoperatively was significantly lower than those at 3 and 6 months postoperatively. The VAS scores of low back at 3, 6 and 12 months postoperatively and last follow-up were 2.50±0.83, 1.93±0.84, 1.54±0.82 and 1.46±1.28, respectively, and all these scores were significantly lower than that preoperatively (5.48±1.24). The score at 12 months postoperatively was obviously lower than those at 3 and 6 months. The VAS scores of leg at 3, 6 and 12 months postoperatively and last follow-up were 2.00±1.07, 1.43±1.02, 1.01±1.01 and 0.89±1.39, respectively, and all of them were significantly lower than the preoperative score (4.73±1.84). The incidence of postoperative complications was 0.53% (9/1 706), including 2 cases of intervertebral disc cyst, 2 of intervertebral space infection and 5 of adjacent segment disease. Eleven patients do not relieve postoperatively. The recurrence rate was 10.38% in 177 cases. One year postoperatively was the peak time of disc recurrence, and the patients aged 61 to 90 years had a higher recurrence rate. The reoperation rate for recurrence was 50.85% and total reoperation rate was 5.98%. For the recurrence, 90 cases were treated with surgery and 87 cases were treated conservatively. Conclusion Percutaneous endoscopic lumbar discectomy has good long-term follow-up outcomes in the treatment of lumbar disc herniation.LI Yueyang LI HaiyinCHANG XianHU ZhileiLIU ChenhaoGAO XiaoxinZHANG YuyaoLI ChangqingEditorial Office of Journal of Third Military Medical Universityarticlelumbar disc herniationpercutaneous endoscopic lumbar discectomysurgical treatmenteffectMedicine (General)R5-920ZHDi-san junyi daxue xuebao, Vol 43, Iss 22, Pp 2455-2461 (2021)
institution	DOAJ
collection	DOAJ
language	ZH
topic	lumbar disc herniation percutaneous endoscopic lumbar discectomy surgical treatment effect Medicine (General) R5-920
spellingShingle	lumbar disc herniation percutaneous endoscopic lumbar discectomy surgical treatment effect Medicine (General) R5-920 LI Yueyang LI Haiyin CHANG Xian HU Zhilei LIU Chenhao GAO Xiaoxin ZHANG Yuyao LI Changqing Percutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study
description	Objective To evaluate the clinical efficacy of percutaneous endoscopic lumbar discectomy in the treatment of lumbar disc herniation. Methods Patients who received single-level percutaneous endoscopic lumbar discectomy for lumbar disc herniation in our department from January 2012 to December 2015 were recruited and followed up for at least 5 years. Oswestry disability index (ODI) and visual analogue scale (VAS) scores of waist and leg were evaluated preoperatively, 3, 6 and 12 months postoperatively, and at the last follow-up. Postoperative complications and their treatment were recorded and analyzed. Results A total of 1 807 cases were included, of which, 1 706 cases were followed up and 101 cases were lost to follow-up, with a follow-up rate of 94.08%. The mean follow-up time was 6.36±1.08 years. The ODI scores at 3, 6 and 12 months postoperatively and last follow-up were 26.01±7.48, 20.87±7.50, 17.25±7.77 and 17.26±13.53, respectively, which were significantly lower than that preoperatively (58.23±13.06). The ODI score at 12 months postoperatively was significantly lower than those at 3 and 6 months postoperatively. The VAS scores of low back at 3, 6 and 12 months postoperatively and last follow-up were 2.50±0.83, 1.93±0.84, 1.54±0.82 and 1.46±1.28, respectively, and all these scores were significantly lower than that preoperatively (5.48±1.24). The score at 12 months postoperatively was obviously lower than those at 3 and 6 months. The VAS scores of leg at 3, 6 and 12 months postoperatively and last follow-up were 2.00±1.07, 1.43±1.02, 1.01±1.01 and 0.89±1.39, respectively, and all of them were significantly lower than the preoperative score (4.73±1.84). The incidence of postoperative complications was 0.53% (9/1 706), including 2 cases of intervertebral disc cyst, 2 of intervertebral space infection and 5 of adjacent segment disease. Eleven patients do not relieve postoperatively. The recurrence rate was 10.38% in 177 cases. One year postoperatively was the peak time of disc recurrence, and the patients aged 61 to 90 years had a higher recurrence rate. The reoperation rate for recurrence was 50.85% and total reoperation rate was 5.98%. For the recurrence, 90 cases were treated with surgery and 87 cases were treated conservatively. Conclusion Percutaneous endoscopic lumbar discectomy has good long-term follow-up outcomes in the treatment of lumbar disc herniation.
format	article
author	LI Yueyang LI Haiyin CHANG Xian HU Zhilei LIU Chenhao GAO Xiaoxin ZHANG Yuyao LI Changqing
author_facet	LI Yueyang LI Haiyin CHANG Xian HU Zhilei LIU Chenhao GAO Xiaoxin ZHANG Yuyao LI Changqing
author_sort	LI Yueyang
title	Percutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study
title_short	Percutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study
title_full	Percutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study
title_fullStr	Percutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study
title_full_unstemmed	Percutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study
title_sort	percutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study
publisher	Editorial Office of Journal of Third Military Medical University
publishDate	2021
url	https://doaj.org/article/7e927024063f4de9b2341b3e6c4e2bec
work_keys_str_mv	AT liyueyang percutaneousendoscopiclumbardiscectomyintreatmentoflumbardischerniationalongtermfollowupstudy AT lihaiyin percutaneousendoscopiclumbardiscectomyintreatmentoflumbardischerniationalongtermfollowupstudy AT changxian percutaneousendoscopiclumbardiscectomyintreatmentoflumbardischerniationalongtermfollowupstudy AT huzhilei percutaneousendoscopiclumbardiscectomyintreatmentoflumbardischerniationalongtermfollowupstudy AT liuchenhao percutaneousendoscopiclumbardiscectomyintreatmentoflumbardischerniationalongtermfollowupstudy AT gaoxiaoxin percutaneousendoscopiclumbardiscectomyintreatmentoflumbardischerniationalongtermfollowupstudy AT zhangyuyao percutaneousendoscopiclumbardiscectomyintreatmentoflumbardischerniationalongtermfollowupstudy AT lichangqing percutaneousendoscopiclumbardiscectomyintreatmentoflumbardischerniationalongtermfollowupstudy
_version_	1718408268715393024

Percutaneous endoscopic lumbar discectomy in treatment of lumbar disc herniation: a long-term follow-up study

Ejemplares similares