NHẬN XÉT MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KẾT QUẢ PHẪU THUẬT CAN THIỆP TỐI THIỂU THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG QUA ỐNG BANH TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objective: Review of some factors related to the results of minimal intervention surgery through ball tube for lumbar herniated disc 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 some factors related to the results. Results: The surgical results according to Macnab criteria in the group of patients under 60 years old were better than those in the group over 60 years old; in the group with a follow-up time of over 12 months were better than those in the group with a follow-up time of under 12 months. This difference was statistically significant (p< 0.05). The surgical results according to Macnab criteria in men were better than those in women; in the group of overweight and obese patients were worse than those in the group of patients with normal BMI; in the group of degenerative disc disease of grade II and grade III were worse than those in the group of degenerative disc disease of grade IV and grade V. However, this difference was not statistically significant (p>0.05). The surgical results were not different in the group of hypertrophied ligamentum flavum and the group without hypertrophied ligamentum flavum. Conclusion: Surgical results according to Macnab criteria had statistically significant differences in age and postoperative follow-up time, but no statistically significant differences in gender, BMI, and level of disc degeneration.