Thanh bên bài viết

PDF
Ngày xuất bản: 29/11/2024
Số lượt xem tóm tắt: 84
Số lượt xem PDF: 37
DOI: https://doi.org/10.51298/vmj.v544i2.11970
Số xuất bản
Tập 544 Số 2 (2024): Vietnam Medical Journal
Chuyên mục
Các bài báo
Trích dẫn bài báo
Dang, . P. G., Nguyen , L. H., Nguyen , H. T., Vo , V. P. T., Vo , D. T. T., Le , D. T., Van , M. K., & Huynh , K. H. (2024). OUTCOMES OF UNILATERAL BIPORTAL ENDOSCOPIC LUMBAR DISCECTOMY FOR LUMBAR DISC HERNIATION AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL. Tạp Chí Y học Việt Nam, 544(2). https://doi.org/10.51298/vmj.v544i2.11970

OUTCOMES OF UNILATERAL BIPORTAL ENDOSCOPIC LUMBAR DISCECTOMY FOR LUMBAR DISC HERNIATION AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

Dang Phuoc Giau1, Nguyen Le Hoan1, Nguyen Huu Thuyet2, Vo Van Phuc Toan1, Vo Duong Thanh Thai1, Le Dinh Tung1, Van Minh Khen1, Huynh Kim Hieu1,
1 Department of Orthopedics, Can Tho University of Medicine and Pharmacy
2 Center for Trauma and Orthopedics, Can Tho Central General Hospital

Nội dung chính của bài viết

Tóm tắt

Background: Lumbar disc herniation is a common condition that significantly impacts patients' quality of life and work capabilities. Unilateral biportal endoscopic (UBE) lumbar discectomy is a minimally invasive approach that effectively reduces pain and improves function after surgery. Objectives: To evaluate the efficacy and safety of UBE lumbar discectomy in treating lumbar disc herniation. Materials and Methods: This study included 39 patients diagnosed with single-level lumbar disc herniation who underwent UBE lumbar discectomy at Can Tho University of Medicine and Pharmacy Hospital. Pain and functional outcomes were assessed pre- and post-operatively using VAS and MacNab scores. Results: The mean VAS score significantly decreased from 4.08 (back) and 7.72 (leg) preoperatively to 1.62 and 2.26 postoperatively. The average hospital stay after surgery was 3.28 days, indicating a quick recovery and return to normal activities. MacNab outcomes indicated that 97.43% of patients achieved "Excellent" or "Good" results. Complications were minimal, with only one case of a small dural tear (2.57%) that did not require repair and did not affect the patient's recovery outcome. Conclusions: UBE lumbar discectomy is an effective and safe method for treating lumbar disc herniation, providing substantial pain relief, functional improvement, shorter hospital stays, and a low complication rate.

Chi tiết bài viết

Từ khóa

Disc herniation, biportal endoscopic surgery, treatment outcomes, back pain, leg pain, hospital stay

Tài liệu tham khảo

1. Kögl, N., Petr, O., Löscher, W., Liljenqvist, U., & Thomé, C. (2024). Lumbar Disc Herniation—the Significance of Symptom Duration for the Indication for Surgery. Deutsches Arzteblatt international, 121(13), 440–448. https://doi.org/10.3238/arztebl.m2024.0074.
2. Zhang, A. S., Xu, A., Ansari, K., Hardacker, K., Anderson, G., Alsoof, D., & Daniels, A. H. (2023). Lumbar Disc Herniation: Diagnosis and Management. The American journal of medicine, 136(7), 645–651. https://doi.org/10.1016/j.amjmed.2023.03.024.
3. Guo, Z., Zhang, Y., Wang, H., & Li, B. (2023). Efficacy and safety of unilateral biportal endoscopic discectomy and conventional endoscopic discectomy in the treatment of lumbar disc herniation: a systematic review and meta-analysis. Annals of palliative medicine, 12(1), 171–180. https://doi.org/10.21037/apm-22-1364.
4. Ito, S., Nakashima, H., Sato, K., Deguchi, M., Matsubara, Y., Kanemura, T., Urasaki, T., Yoshihara, H., Sakai, Y., Ito, K., Shinjo, R., Ando, K., Machino, M., Segi, N., Tomita, H., Koshimizu, H., & Imagama, S. (2023). Laterality of lumbar disc herniation. Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 28(6), 1207–1213. https://doi.org/10.1016/j.jos.2022.10.003.
5. Ito, S., Nakashima, H., Sato, K., Deguchi, M., Matsubara, Y., Kanemura, T., Urasaki, T., Yoshihara, H., Sakai, Y., Ito, K., Shinjo, R., Ando, K., Machino, M., Segi, N., Tomita, H., Koshimizu, H., & Imagama, S. (2023). Laterality of lumbar disc herniation. Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 28(6), 1207–1213. https://doi.org/10.1016/j.jos.2022.10.003.
6. Đỗ , T. A. ., & Hà , K. T. . (2024). KẾT QUẢ ĐIỀU TRỊ THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN E. Tạp Chí Y học Việt Nam, 536(1). https://doi.org/10.51298/vmj.v536i1.8679.
7. Vũ, V. T. (2024). ĐÁNH GIÁ KẾT QUẢ SỚM ĐIỀU TRỊ THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG BẰNG PHẪU THUẬT NỘI SOI LỐI SAU QUA ĐƯỜNG LIÊN BẢN SỐNG TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH. Tạp Chí Y học Việt Nam, 538(2). https://doi.org/10.51298/vmj.v538i2.9450.
8. Lê Tường Viễn, Bùi Hồng Thiên Khanh, Nguyễn Thành Nhân, Nguyễn Ngọc Thôi, Hoàng Nguyễn Anh Tuấn (2021). ĐIỀU TRỊ THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG BẰNG KỸ THUẬT NỘI SOI HAI CỔNG. Tạp chí Y học TP. Hồ Chí Minh, 25(1), 94-102.
9. Wang, J. C., Li, Z. Z., Cao, Z., Zhu, J. L., Zhao, H. L., & Hou, S. X. (2023). Modified Unilateral Biportal Endoscopic Lumbar Discectomy Results in Improved Clinical Outcomes. World neurosurgery, 169, e235–e244. https://doi.org/10.1016/j.wneu.2022.10.109.
10. Li, Y. S., Chen, C. M., Hsu, C. J., & Yao, Z. K. (2022). Complications of Unilateral Biportal Endoscopic Lumbar Discectomy: A Systematic Review. World neurosurgery, 168, 359–368.e2. https://doi.org/10.1016/j.wneu.2022.10.038.