Abstract:
Objective To explore the clinical efficacy of percutaneous foraminal endoscopy in the treatment of lumbar intervertebral disc protrusion in young people, and focus on evaluating its value in promoting the rapid reintegration of patients into society.
Methods A prospective cohort study design was adopted, 96 young patients with single-segment lumbar intervertebral disc protrusion were divided into two groups. Among them, 50 cases were in the PTED surgery group. Those who met the strict surgical indications, were treated with percutaneous foraminal endoscopic discectomy. There were 46 cases in the conservative treatment group, who received systematic conservative treatment. The perioperative/treatment period indicators, Visual Analogue Scale for Pain, Oswestry Disability Index, modified MacNab efficacy, time to resume daily activities, full-time study or social work were compared between two groups.
Results The pain relief and functional improvement in the PTED surgery group in the early postoperative period (1 to 3 months) were superior to those in the conservative treatment group (P ＜ 0.01). The time of first getting out of bed, length of hospital stay, time to resume daily activities, and time to resume full-time study or social work were all shorter than those in the conservative treatment group (P ＜ 0.01). By 6 months after the operation, the therapeutic effects of the two groups reached the same excellent level statistically (P ＞ 0.05). In the conservative treatment group, 4 cases were converted to surgery due to poor therapeutic effect.
Conclusions For young patients with lumbar intervertebral disc protrusion who meet strict surgical indications, the percutaneous foraminal endoscopy can relieve nerve compression more quickly and effectively compared with systematic conservative treatment, shorten the period of functional recovery and social reintegration, and is a safe and efficient minimally invasive treatment option.
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