Comparison of tissue damages caused by endoscopic lumbar discectomy and traditional lumbar discectomy_ a randomised controll

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1、ORIGINALRESEARCHInternationalJournalofSurgery12(2014)534e537ContentslistsavailableatScienceDirectInternationalJournalofSurgeryjournalhomepage:www.journal-surgery.netOriginalresearchComparisonoftissuedamagescausedbyendoscopiclumbardiscectomyandtraditionallumbardiscectomy:Arandomisedcontroll

2、edtrialabc,*LeiPan,PeifangZhang,QingshuiYinaDepartmentofOrthopaedicsSurgery,ThePeople’sHospitalofFoshan,SanshuiDistrict,Foshan528100,GuangdongProvince,ChinabDepartmentofRespiratoryMedicine,TheFirstPeople’sHospitalofFoshan,Foshan528000,GuangdongProvince,ChinacDepartmentofOrthopaedicsSurgery

3、,LiuhuaqiaoHospital,Guangzhou510010,GuangdongProvince,ChinaarticleinfoabstractArticlehistory:Objectives:Thisstudyaimedtocomparetheclinicalefficaciesofpercutaneousendoscopiclumbardis-Received25October2013cectomy(PELD)andtraditionalopenlumbardiscectomy(OD).ReceivedinrevisedformMethods:Thepre-

4、operativeandpost-operativebloodloss,hospitalstaysandwoundsizesofthepatients16January2014inthetwogroupswererecorded.Enzyme-LinkedimmunosorbentassaywasusedtomeasuretheAccepted26February2014changesofinterleukin-6(IL-6),C-reactiveprotein(CRP)andcreatinephosphokinase(CPK)pre-operationAvailableo

5、nline28February2014and1h,6h,12h,24hand48haftercorrespondingsurgery.VisualAnalogScaleandModifiedMacNabCriteriawereusedtoassesspost-operativeresults.Keywords:Results:PatientsinthePELDgrouphadlessbloodloss(p<0.01),shorterhospitalizationhours(p<0.01)PercutaneousendoscopicLumbardiscectomyandsmal

6、lersurgicalwounds(p<0.01)thanthepatientsunderwenttraditionalODsurgery.MacNabOpenexcisionevaluatedthatthelevelsofsatisfactionwereabove90%inbothgroupspost-operativesixmonths.ThereTissuefactorswasnosignificantdifferenceinpainindexbetweenthetwogroups(p>0.05).Furthermore,thelevelsofDamagesCRP,CP

7、KandIL-6inthePELDgroupwerealllowerthanthoseintheODgroupwithasignificantdif-ference(p<0.01).Conclusion:ThePELDhadlessdamagetohumantissuesthanthetraditionalOD.PELDhasaclearpromotionalvalueinclinical.Ó2014SurgicalAssociatesLtd.PublishedbyElsevierLtd.Allrightsreser