Efficacy of transforaminal endoscopic discectomy using TESSYS technique in treatment of lumbar disc herniation

摘要

Objective:To explore the clinical efficacy of transforaminal endoscopic discectomy using TESSYS technique in the treatment of lumbar disc herniation (LDH).Methods:A total of 60 patients with LDH who were admitted in our hospital from June, 2014 to February, 2016 were included in the study and randomized into the study group and the control group. The patients in the study group were performed with transforaminal endoscopic discectomy using TESSYS technique, while the patients in the control group were performed with the vertebral lamina fenestration. VAS was used to evaluate the pain relieving before operation, 1 d, 1 month, 3 months, and 6 months after operation. The fasting elbow venous blood before operation, 3, 6, 12, 24, and 48 h after operation was collected. The immune scatter turbidity was used to detect hs-CRP. ELISA was used to detect IL-6.Results:The difference of VAS scores before operation between the two groups was not statistically significant (P>0.05). With the time extending after operation, VAS score was significantly reduced (P0.05). The difference of hs-CRP and IL-6 before operation between the two groups was not statistically significant (P>0.05). The levels of hs-CRP and IL-6 after operation at each timing point in the study group were significantly superior to those in the control group (P<0.05). Conclusions:Transforaminal endoscopic discectomy using TESSYS technique in the treatment of LDH has advantages of small trauma, less stress reaction, and rapid postoperative recovery; therefore, it deserves to be widely recommended in the clinic.