Zhang ZH, Du Q, Wu FJ, Liao WB. Optimal approach for total endoscopic discectomy and its effect on lumbar and leg function in patients with disc herniation. World J Clin Cases 2022; 10(35): 12928-12935 [PMID: 36569011 DOI: 10.12998/wjcc.v10.i35.12928]
Corresponding Author of This Article
Wen-Bo Liao, MD, Chief Physician, Department of Orthopaedics, Affiliated Hospital of Zunyi Medical University, No. 149 Dalian Road, Huichuan District, Zunyi 563003, Guizhou Province, China. wenbo_liao@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Clin Cases. Dec 16, 2022; 10(35): 12928-12935 Published online Dec 16, 2022. doi: 10.12998/wjcc.v10.i35.12928
Table 1 Comparison of the general demographic characteristics between the control and observation groups
Group
Sex (M/F)
ASA (II/III)
Duration (mo)
Age (yr)
Body mass index
Observation group (n = 62)
35/27
25/37
7.42 ± 2.41
54.13 ± 5.12
23.99 ± 1.22
Control group (n = 58)
34/24
32/26
7.64 ± 2.52
54.34 ± 4.97
24.23 ± 2.33
χ2/t value
0.058
2.650
0.486
0.234
0.712
P value
0.810
0.104
0.628
0.815
0.478
Table 2 Comparison of therapeutic effects between the control and observation groups, n (%)
Group
Excellent
Good
Average
Poor
Total effective rate
Observation group (n = 62)
38 (61.29)
12 (19.35)
8 (12.90)
4 (6.45)
58 (93.55)
Control group (n = 58)
19 (32.76)
15 (25.86)
11 (18.97)
13 (22.41)
45 (77.59)
χ2/U value
3.353
6.279
P value
0.001
0.012
Table 3 Comparison of perioperative indicators between the control and observation groups
Group
Operative time (h)
Intraoperative blood loss (mL)
Hospital stay (d)
Observation group (n = 62)
6.74 ± 1.37
33.21 ± 1.95
4.34 ± 1.33
Control group (n = 58)
6.71 ± 1.51
33.60 ± 1.96
5.38 ± 1.57
t value
0.133
1.097
3.933
P value
0.884
0.275
0.000
Table 4 Analysis of dysfunction in the control and observation groups
Group
JOA (points)
ODI (points)
Before therapy
4 wk of therapy
Before therapy
4 wk of therapy
Observation group (n = 62)
7.71 ± 2.05
2.98 ± 1.26
55.68 ± 2.76
11.68 ± 2.53
Control group (n = 58)
7.93 ± 2.12
3.90 ± 1.61
55.95 ± 1.93
14.98 ± 1.86
t value
0.581
3.472
0.619
8.116
P value
0.562
0.001
0.537
0.000
Table 5 Comparison of pain between the control and observation groups
Group
Lower back VAS (points)
Leg VAS (points)
Before therapy
4 wk of therapy
Before therapy
4 wk of therapy
Observation group (n = 62)
6.02 ± 1.81
2.18 ± 0.88
7.87 ± 1.82
1.42 ± 0.50
Control group (n = 58)
6.03 ± 2.79
3.53 ± 0.50
7.78 ± 2.93
2.21 ± 0.52
t value
0.043
10.292
0.215
8.464
P value
0.966
0.000
0.830
0.000
Table 6 Comparison of quality of life between the control and observation groups
Group
AIMS2-SF score (points)
Barthel index (points)
Before therapy
After therapy
Before therapy
After therapy
Observation group (n = 62)
57.55 ± 2.57
95.16 ± 1.74
57.63 ± 2.18
97.29 ± 1.75
Control group (n = 58)
58.14 ± 2.54
84.95 ± 2.14
57.02 ± 1.58
89.16 ± 2.71
t value
1.263
28.782
1.751
19.645
P value
0.209
0.000
0.082
0.000
Citation: Zhang ZH, Du Q, Wu FJ, Liao WB. Optimal approach for total endoscopic discectomy and its effect on lumbar and leg function in patients with disc herniation. World J Clin Cases 2022; 10(35): 12928-12935