Articles Vol. 65 No. CĐ11- HN Chấn thương Chỉnh hình-TPHCM 02/12/2024

48. OUTCOMES OF LUMBAR DISC HERNIATION TREATMENT USING ENDOSCOPIC INTERLAMINAR APPROACH AT THAI NGUYEN CENTRAL HOSPITAL

Le Ngo Viet Duc1,2,3,4, Tran Chien1,2,3,4, Hoang Minh Hiếu1,2,3,4
1 Thai Nguyen University of Medicine and Pharmacy
2 Thai Nguyen National Hospital
3 Trường Đại học Y Dược, Đại học Thái Nguyên
4 Bệnh viện Trung ương Thái Nguyên
Corresponding author: lengovietduck48a@gmail.com
DOI: 10.52163/yhc.v65iCD11.1785
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Keywords
Disc herniation low back pain lumbar endoscopic interlamina approach
Abstract

Objective: Evaluate the results of treatment for lumbar disc herniation using endoscopic surgery by the interlaminar approach at Thai Nguyen Central Hospital.

Subjects and methods: A cross-sectional descriptive study of 33 patients was diagnosed with single-level lumbar disc herniation who were operated endoscopy by the interlamina approach, between 01/2021 and 12/2023 at Thai Nguyen Central Hospital.

Results: Among the 33 cases of disc herniation treated with endoscopic interlaminar surgery, there were 20 males and 13 females. The average age of the study group was 46.09 years. The highest occupational rate was in heavy labor (42.4%). The average surgery time was 79.39 minutes, and the average postoperative hospital stay was 3.45 days. Postoperative leg and back pain significantly improved, with average pain scores of 5.4 and 3.91, respectively, showing a statistically significant difference with p < 0.05. The average postoperative ODI (Oswestry Disability Index) score was 17.28, a marked improvement from the preoperative score of 62.03. Very good results were observed in 69.7% of cases, and good results in 30.3%. At discharge, the rates of very good and good results were 90.9% and 9.1%, respectively.

Conclusion: Endoscopic interlaminar surgery for single-level lumbar disc herniation at Thai Nguyen Central Hospital has shown very good early outcomes. This procedure is safe and effective, and it should be maintained and widely applied.

References
[1]
Đoàn Quốc Hưng & Dương Đại Hà. Bệnh học Ngoại khoa Thần kinh. Bộ môn Ngoại - Trường Đại học Y Hà Nội. Nhà xuất bản Y học, 2021). Google Scholar
[2]
Đinh Ngọc Sơn. Nghiên cứu ứng dụng phương pháp phẫu thuật nội soi qua lỗ liên hợp trong thoát vị đĩa đệm cột sống thắt lưng. Luận án Tiến sĩ Y học,Trường Đại học Y Hà Nội, 2013. Google Scholar
[3]
Phan Tùng Lâm, Đinh Ngọc Sơn & Nguyễn Hoàng Anh. Đặc điểm lâm sàng, cộng hưởng từ ở bệnh nhân thoát vị đĩa đệm L4L5 được phẫu thuật nội soi qua đường liên bản sống. Tạp chí Y học Việt Nam, 2024. Google Scholar
[4]
Nguyễn Vũ. Kết quả bước đầu điều trị thoát vị đĩa đệm L5/S1 bằng phẫu thuật nội soi liên bản sống. Tạp chí Nghiên cứu Y học, 2021, 147, 177- Google Scholar
[5]
Lê Triệu Linh. Kết quả phẫu thuật thoát vị đĩa đệm cột sống thắt lưng cùng bằng phương pháp nội soi một cổng qua khe liên bản sống tại bệnh viện Bãi Cháy. Luận văn chuyên khoa cấp II, Trường Đại học y Hà Nội, 2024. Google Scholar
[6]
Zhiming Tu. et al. Clinical outcome of full-endoscopic interlaminar discectomy for single-level lumbar disc herniation: a minimum of 5-year llow-up. Pain Physician 20, E425 (2017). Google Scholar
[7]
Hua, W. et al. Full-endoscopic discectomy via the interlaminar approach for disc herniation at L4-L5 and L5-S1: An observational study. Medicine, 2018, 97, e585 Google Scholar
[8]
Shim, H.-K. et al. Interlaminar endoscopic lumbar discectomy using a new 8.4mm endoscope and nerve root retractor. Clinical Spine Surgery, 2020, 33, 265-270. Google Scholar
[9]
Won, Y. I. et al. Interlaminar endoscopic lumbar discectomy: A narrative review. International Journal of Spine Surgery, 2021, 15, 47-53 Google Scholar
[10]
Müller, S. J., Burkhardt, B. W. & Oertel, J. M. Management of dural tears in endoscopic lumbar spinal surgery: A review of the literature. World neurosurgery, 2018, 119, 494-499. Google Scholar