Exploration Of Clinical Efficacy Of Combined Minimally Invasive Techniques For Sequested Lumber Disc Herniation

Objective: To compare the of clinical efficacy of combined minimallytrauma techniques and conservative therapy for the type of sequested lumbarintervertebral disc herniation.Method:50cases patients with type of sequested of lumbar intervertebraldisc herniation were randomly selected,among them24cases patients wasreceived combined minimally invasive techniques of microsurgeries via DSA inlesioned vertebral space.The remaining26cases patients take for control groupjust received conservative therapy.Two groups patients were followed up1month and3month，and compae the VAS、SSR、excellent and good rate,averagehospitalization period，average period of return to daily life.Result:Compare the VAS：A groups:the excellent and good rate aftersurgery87.5%、theexcellentand goodrate1month aftersurgery91.7%、theexcellentand good rate3month aftersurgery95.8%；B groups：the excellent andgood rate after surgery61.5%、theexcellentand good rate1month aftersurgery61.5%、the excellentand good rate3month aftersurgery57.7%；Compare theSSR：A groups:the excellent and good rate after surgery83.3%、theexcellentandgoodrate1month aftersurgery87.5%、the excellentand good rate3monthaftersurgery91.7%；B groups：the excellent and good rate after surgery57.7%、theexcellentand good rate1month aftersurgery57.7%、the excellentand good rate3month aftersurgery53.4%；Compare the average hospitalization period Agroups：10.54±0.24，B groups:18.50±0.33；Compare the average period of return to daily life A groups：14.46±0.25，B groups：26.80±0.41；There was significantstatistical difference between two groups in excellent and good rate,averagehospitalization period,average period of ruturn to daily life.Conclusion:Comparing with conservative therapy for type of prolapse oflumbar intervertebral disc herniation, combined minimally trauma techniques hasadvantages of better pain relieving，confirmed short term efficacy，short period ofhospitalization，fast return to daily life.