Volume 19 Issue 11
Nov.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(11): 1827-1830
ZHAO Long, ZHANG Rong-yi, LIU Chang. Comparison of the clinical effects of percutaneous transforaminal endoscopic discectomy and plasma-mediated radiofrequency ablation combined with collagenase in the treatment of lumbar disc herniation[J]. Chinese Journal of General Practice, 2021, 19(11): 1827-1830. doi: 10.16766/j.cnki.issn.1674-4152.002177
Citation: ZHAO Long, ZHANG Rong-yi, LIU Chang. Comparison of the clinical effects of percutaneous transforaminal endoscopic discectomy and plasma-mediated radiofrequency ablation combined with collagenase in the treatment of lumbar disc herniation[J]. Chinese Journal of General Practice, 2021, 19(11): 1827-1830. doi: 10.16766/j.cnki.issn.1674-4152.002177
shu

Comparison of the clinical effects of percutaneous transforaminal endoscopic discectomy and plasma-mediated radiofrequency ablation combined with collagenase in the treatment of lumbar disc herniation

doi: 10.16766/j.cnki.issn.1674-4152.002177

  • Department of Pain Management, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

Funds:

 KJ2018A0661

  • Received Date: 2021-02-24
    Available Online: 2022-02-15
    Abstract
  •   Objective  To compare the clinical effect of percutaneous transforaminal endoscopic discectomy (PTED) and low-temperature plasma-mediated radiofrequency ablation combined with collagenase in the treatment of lumbar disc herniation (LDH).   Methods  Total 72 patients who were treated with LDH in the First Affiliated Hospital of Anhui Medical University from January 2018 to January 2020 were retrospectively analysed. The patients were divided into two groups: group A (36 patients treated with PTED) and group B (36 patients treated with low-temperature plasma-mediated radiofrequency ablation combined with collagenase). The postoperative hospital stay and visual analogue scale (VAS) score at different time points were compared between the two groups. The modified MacNab criteria were used to evaluate the clinical efficacy.   Results  Compared to preoperatively [A: (6.75±1.20) points, B: (7.00±1.17) points], the VAS score of both groups decreased significantly at 1 week [A: (3.39±1.29) points, B: (4.00±1.62) points], 1 month [A: (2.19±0.86) points, B: (2.56±0.97) points], 3 months [A: (1.81±0.98) points, B: (2.25±1.00) points], 6 months [A: (1.36±0.64) pointa, B: (1.94±0.89) points] and 12 months [A: (1.08±0.77), B: (1.69±0.79) points] after surgery (all P < 0.05).   Conclusion  PTED and low-temperature plasma-mediated radiofrequency ablation combined with collagenase could achieve satisfactory short-term effects in the treatment of LDH. Both surgical techniques could significantly alleviate the pain symptoms and improve the quality of life, whilst PTED could achieve better long-term effect.

     

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