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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Comparison of microendoscopic discectomy and open discectomy for single-segment lumbar disc herniation
Jiu-Ya Pang, Fei Tan, Wei-Wei Chen, Cui-Hua Li, Shu-Ping Dou, Jing-Ran Guo, Li-Ying Zhao
Jiu-Ya Pang, Department of Traumatology, The Second Hospital of Tangshan, Tangshan 0630000, Hebei Province, China
Fei Tan, Wei-Wei Chen, Intensive Care Unit, The Second Hospital of Tangshan, Tangshan 0630000, Hebei Province, China
Cui-Hua Li, Department of Nursing, The Second Hospital of Tangshan, Tangshan 0630000, Hebei Province, China
Shu-Ping Dou, Department of Hand Surgery, The Second Hospital of Tangshan, Tangshan 0630000, Hebei Province, China
Jing-Ran Guo, Department of Spinal Surgery, The Second Hospital of Tangshan, Tangshan 0630000, Hebei Province, China
Li-Ying Zhao, Hospital Office, The Second Hospital of Tangshan, Tangshan 0630000, Hebei Province, China
Author contributions: Pang JY and Tan F contributed equally to this article and should be considered as co-first authors; Pang JY, Tan F, and Zhao LY designed this study; Chen WW drafted the work and collected the data; Tan F, Li CH, Dou SP, and Guo JR analyzed and interpreted the data and wrote the article.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of The Second Hospital of Tangshan.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: Dr. Li CH received grants from 2018 Hebei Provincial Key Medical Science Project Plan (20181289), during this study. There are no other financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Cui-Hua Li, MNurs, Associate Chief Nurse, Department of Nursing, The Second Hospital of Tangshan, No. 21, Jianshe Road, Tangshan 0630000, Hebei Province, China. ly80222@163.com
Received: March 22, 2020
Peer-review started: March 22, 2020
First decision: April 14, 2020
Revised: April 24, 2020
Accepted: May 26, 2020
Article in press: May 26, 2020
Published online: July 26, 2020
Processing time: 124 Days and 10.4 Hours
ARTICLE HIGHLIGHTS
Research background
Among all orthopedic diseases, lumbar disc herniation is a common joint disease.
Research motivation
Endoscopic technology and minimally invasive technology has gradually improved spine minimally invasive surgical instruments, especially microendoscopic discectomy (MED).
Research objectives
Clarify the clinical effects of discectomy and laminar nucleus pulpectomy.
Research methods
A total of 96 patients with single-segment lumbar disc herniation who underwent surgical treatment were selected. The observation group underwent lumbar discectomy, and the control group underwent lamina excision.
Research results
In terms of surgical indicators, the observation group had a longer operation time than the control group, the postoperative bedtime and hospital stay were shorter, the intraoperative blood loss was less, and the incision length was shorter. In terms of pain, the visual analogue scale pain scores were lower in the observation group compared to the control group at 1 d, 3 d, 1 mo, and 6 mo after surgery, and the difference was statistically significant. The incidence of complications was also lower in the observation group.
Research conclusions
MED allows patients to get out of bed faster, reduces pain more quickly, and patients can recover sooner. It has a good prognosis and is worthy of all-round promotion and application in the clinic.
Research perspectives
Minimally invasive technology will gradually become the mainstream treatment method.
