KẾT QUẢ PHẪU THUẬT NỘI SOI LẤY THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG – CÙNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: Evaluate the outcome of endoscopic disectomy for treatment of lumbosacral disc herniation at Viet Duc hospital in 2023. Subjects and research methods: Cross-sectional descriptive study using retrospective data on patients with lumbosacral disc herniation who experienced endoscopic discectomy surgery in 2023 at Viet Duc Hospital. Results: The study was conducted on 49 patients with a male/female ratio of 0.89/1. Radicular pain immediately decreased 24 hours after surgery, and at the last follow-up with VAS score from 7.5 ± 1.29 to 2.3 ± 1.96 and 2.3 ± 1.63, respectively. At the time of follow-up (at least 3 months after surgery), most patients no longer felt pain or only had mild pain (66.3%). 63.3% of patients had no or little decrease in function according to the ODI scale. The rate of complications is 0%, and the rate of recurrent disc herniation is 4.1%. At the last follow-up, the sequestered disc herniation group had the lowest VAS score (p=0,001). Conclusion: Treatment of lumbar-sacral disc herniation with endoscopic herniation surgery achieved highly successful results. After surgery, patients have improved nerve root pain and function with a low rate of postoperative complications and disc herniation recurrence.