ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG QUA ỐNG BANH TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Nguyen Xuan Phuong1, , Ngọc Hào Phạm1, Hồng Dương Nguyễn2, Khắc Hậu Đỗ3
1 Khoa Phẫu thuật thần kinh, Bệnh viện Quân y 103, Học viện Quân y
2 Khoa Chấn thương chung, Bệnh viện Quân y 354
3 Khoa Ngoại Thần kinh, Viện Thần kinh, Bệnh viện Trung ương Quân đội 108

Main Article Content

Abstract

EVALUATING RESULTS OF TREATMENT


OF LUMBAR HERNIATED DISC WITH MINIMAL INVASIVE SURGERY AT 108 MILITARY CENTRAL HOSPITAL


Objective: Evaluating results of treatment of lumbar herniated disc with minimal invasive surgery at 108 military central hospital.


Subjects and Methods: Retrospective description from january 2019 to july 2022, 81 cases of lumbar herniated disc treate with minimal invasive surgery through dilator tube at 108 Military Central hospital. Evaluating results of surgical.


Results: The surgery time was 62.24±16.58 minutes. The postoperative treatment time was 5.9±2.7 days. There were 2/81 cases of dural tear during surgery (2.5%). There were 5/81 cases of recurrent pain after surgery requiring re-surgery (6.2%). Treatment results according to the Macnab scale: Very good and good were 76.6%, average was 17.3%, poor was 6.1%. ODI decreased from 61.06±9.95% to 15.6±15.16%. Back pain (Vas) decreased from 4.44±1.78 to 1.0±1.01. Leg pain (Vas) decreased from 7.36±0.96 to 1.6±1.79.


Conclusion: The results of treatment of lumbar herniated disc with minimal invasive surgery had mainly good and very good results according to the Macnab scale. The ODI and Vas indexes both decreased after surgery. The rate of complications and adverse events of surgery was relatively low.


Keywords: Lumbar herniated disc, dilator tube, minimal invasive surgery.

Article Details

References

1. Laing Rodney. Lumbar disc herniation. Journal of neurology, neurosurgery, and psychiatry. 1999; 67:699A.
2. Tiến NLB. Nghiên cứu ứng dụng ống nong trong phẫu thuật thoát vị đĩa đệm đơn tần cột sống thắt lưng cùng tại Bệnh viện Hữu Nghị Việt Đức. 2013.
3. Pang JY, Tan F, Chen WW, et al. Comparison of microendoscopic discectomy and open discectomy for single-segment lumbar disc herniation. World J Clin Cases. 2020; 8(14): 2942-2949.
4. Nakagawa Yukihiro, Yoshida Munehito, Maia Kazuhiro. Microendoscopic discectomy (MED) for surgical management of lumbar disc disease: Technical Note 2. 2005.
5. Ranjan A, Lath R. Microendoscopic discectomy for prolapsed lumbar intervertebral disc. Neurol India. 2006; 54(2):190-194.
6. Tuyển Bùi Quang. Phẫu thuật thóa vị đĩa đệm cột sống. Nhà xuất bản Y học. 2010.
7. Yadav RI, Long L, Yanming C. Comparison of the effectiveness and outcome of microendoscopic and open discectomy in patients suffering from lumbar disc herniation. Medicine (Baltimore). 2019; 98(50):16627.
8. Chen Z, Zhang L, Dong J, et al. Percutaneous transforaminal endoscopic discectomy compared with microendoscopic discectomy for lumbar disc herniation: 1-year results of an ongoing randomized controlled trial. J Neurosurg Spine. 2018; 28(3):300-310.