[Percutaneous endoscopic lumbar discectomy combined with epidural injection for prolapsed lumbar disc herniation].
Zhongguo Gu Shang. 2017 Feb 25;30(2):110-114
Authors: Wu HH, Tang T, Pang QJ, Wang Y, Zhang ZK
OBJECTIVE: To evaluate the impact of percutaneous endoscopic lumbar discectomy (PELD) mixed with epidural injection for prolapsed lumbar disc herniation(PLDH).
METHODS: On this potential randomized managed examine, the scientific information of 126 sufferers who had undergone a PELD due to a single-level PLDH from March 2014 to June 2015 had been analyzed. There have been 67 males and 59 females, ranging in age from 17 to 75 years previous with a median of(41.zero±13.5) years previous, 9 circumstances had been L?,?, 76 circumstances had been L?,? and 41 circumstances had been L?S?. In line with the random quantity desk, the sufferers had been randomized into two teams, with 63 sufferers in every group. Sufferers in group 1 had been injected regular saline after PLED, sufferers in group 2 had been subjected to an epidural injection of Diprospan, Lidocaine and Mecobalamine after PLED. All of the sufferers had been adopted up from 6 to 20 months with the imply of 12.four months. Issues, the postoperative hospital keep, the interval of return to work, visible analogue scale (VAS) and Japanese Orthopedic Affiliation (JOA) rating had been in contrast between two teams, and scientific outcomes had been evaluated in line with modified MacNab standards.
RESULTS: All of the operations had been profitable, and no problems had been discovered. The imply postoperative hospital keep and the interval of return to work in group 1 had been (four.61±1.25) days and (four.31±zero.47) weeks, respectively, and in group 2 had been (2.53±zero.69) days and (three.14±zero.52) weeks, there was vital variations between two teams(P=zero.000). Postoperative VAS and JOA scores in two teams had been clearly improved (P=zero.000). At 1 day, 1 week, 1 month after operation, VAS, JOA scores in group 2 had been higher than that of group 1(P=zero.000), and after 6 months, there was no vital distinction between two teams(P>zero.05). In line with the modified MacNab standards, 39 circumstances received wonderful outcomes, 21 good, three honest in group 1, and which in group 2 had been 41, 20, 2, respectively, there was no vital distinction between two teams(P=zero.087).
CONCLUSIONS: PELD is an mini-invasive method for PLDH, it could actually fleetly cut back ache and enhance perform. And mixture with epidural injection has some great benefits of ache releasing and performance enhancing within the short-term postoperative interval, and it could actually lower postoperative hospital keep and time of returning to work, and it’s a protected and efficient methodology.
PMID: 29349999 [PubMed – in process]