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Application Research of PETD Combined with MRI nerve root water imaging in the Minimally Invasive Treatment of LDH

International Journal of Clinical Medicine 2024年第4期15卷 167-176页

作者： Guanhua Wang Zhe Shen Jinben Yu Shengjie Xu Weinan Xu Bing Xu Xiaoyu Ye Wenzhou Combined Traditional Chinese and Western Medicine Hospital of Zhejiang Chinese Medicine University Wenzhou China The Third Clinical Medical College Zhejiang Chinese Medical University Hangzhou China

Objective: This study aims to evaluate the safety and efficacy of PETD combined with nerve root water imaging of MRI for the treatment of lumbar disc herniation. Methods: A retrospective review was performed on 62 patients with lumbar disc herniation from March 2019 to March 2021. The study included an experimental group of 30 patients and a control group of 32 patients. The experimental group underwent PETD combined with nerve root water imaging of MRI, while the control group received traditional PETD treatment. The visual analogue scoring method (VAS score), and JOA lumbar spine function score before and after surgery were compared between the two groups, and efficacy was assessed and compared using the MacNab score. Results: The mean operation time was significantly reduced in the experimental group (56.43 ±10.40 minutes) compared to the control group (65.69 ±14.12 minutes). The VAS score was compared between the two groups with preoperative (p = 0.624), one month after surgery (p = 0.325), three months after surgery (p = 0.676), one year after surgery (p = 0.341);The JOA score was compared between the two groups with preoperative (p = 0.961), one month after the surgery (p = 0.266), three months after surgery (p = 0.185), one year after surgery (p = 0.870), they were no significant statistical difference;The efficacy evaluation of the last follow-up Macnab showed that all the 30 patients in the experimental group were excellent, 31 of 32 patients in the control group were excellent, 1 case was good;There was no statistical difference in the comparison between the two groups (p > 0.05). Conclusion: The study concludes that the combined approach of PETD with nerve root water imaging of MRI is a safe, effective, and more efficient alternative to conventional PETD for treating lumbar disc herniation.

关键词： Lumbar Disc Herniation nerve root water imaging Percutaneous Interforaminal Endoscopy Minimally Invasive Spine Surgery Discectomy

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