KẾT QUẢ XA PHẪU THUẬT NỘI SOI QUA LỖ LIÊN HỢP ĐIỀU TRỊ THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG

Abstract

Objective: The aim of this study was to evaluate the long outcomes of treating patients with lumbar disc herniation using the endoscopic transforaminal approach. Method: A retrospective descriptive study was conducted on a cohort of 65 patients diagnosed with lumbar disc herniation who underwent treatment through the endoscopic transforaminal approach at the Spinal Surgery Department of Viet Duc University Hospital, spanning from January 2014 to December 2015. Results: The study encompassed 65 patients, comprising 46 males (70.77%) and 19 females (29.23%), with an average age of 42.23 ± 11.89 years. The mean follow-up duration was 105.21 ± 4.34 months. According to the Macnab criteria, 98.47% of patients had excellent or good result. On the final post-surgery follow-up, Visual Analog Scale (VAS) back scores decreased from 6.85 ± 1.50 to 1.31±1.05, VAS affected leg decreased from 7.33 ± 1.65 to 0.88±1.53  and Oswestry Disability Index (ODI) scores decreased from 66.80±13.46% to 10.71±7.76%. Although one case was diagnosed recurrent hernia, then he was treated conservatively with drugs and confirm good result one month later. Conclusion: The endoscopic transforaminal approach proves to be a reliable and effective treatment modality for managing cases of lumbar disc herniation.