Clinical efficacy analysis of different approaches of percutaneous endoscopic spine surgery for L5S1 disc herniation
不同入路经皮脊柱内镜手术治疗L5S1椎间盘突出症患者的临床疗效分析

摘要

目的 分析不同入路经皮脊柱内镜手术治疗L5S1椎间盘突出症患者效果。方法 选择100例L5S1椎间盘突出症病患为研究样本。分为P组、M组，P组接受经皮脊柱内镜椎间盘摘除术，M组接受椎间盘镜术。分析结果。结果 P组疗效好于M组，P＜0.05；P组术中出血量少，切口短，P＜0.05；P组术后3d疼痛分数更低，术后1个月腰椎功能评分更高，P＜0.05；P组术后生活质量更好，P＜0.05。结论 经皮脊柱内镜椎间盘摘除术治疗L5S1椎间盘突出症效果更好，建议推广。

Abstract

Objective To analyze the effect of different approaches of percutaneous endoscopic spine surgery on patients with L5S1 disc herniation.
Methods 100 patients with L5S1 disc herniation were selected as the study sample. They were divided into group P and group M. Group P underwent percutaneous endoscopic discectomy and group M underwent endoscopic discectomy. Analyze the results.
Results The curative effect of group P was better than group M (P < 0.05). Group P had less intraoperative blood loss and shorter incision, P < 0.05; Group P had lower pain score 3 days after operation and higher lumbar function score 1 month after operation (P < 0.05). The postoperative quality of life was better in group P (P < 0.05).
Conclusion   Percutaneous endoscopic spinal discectomy is better in the treatment of L5S1 disc herniation and should be popularized.