Study on the Effects of Percutaneous Endoscopic Nucleus Pulposus Removal through Different Approaches on the Rehabilitation Process and Traumatic Stress of Patients with Lumbar Disc Herniation
Liu Jianjian
Liu Dongping
Zeng Zhengxing
Abstract：Objective:To explore the effects of percutaneous endoscopic transforaminal discectomy(PTED)through different approaches on the rehabilitation process and traumatic stress in patients with lumbar disc herniation(LDH).Methods:A total of 94 patients with LDH admitted to Ji'an Central People's Hospital from October 2020 to October 2023 were selected as study objects.They were divided into Group A(n=47)and Group B(n=47)based on the differences in treatment plans.All patients were PTED therapy,group A was given the posterior interlaminar apporach,group B was given the transforaminal lumbar approach the road.Comparing rehabilitation process,lumbocrural pain and lumbar function,traumatic stress index levels,the postoperative complications between two groups.Results:The duration of surgery and length of hospital stay in group A were significantly shorter than those in group B,and the intraoperative blood loss was also lower,with statistically significant significance(P＜0.001).In low back pain visual analogue scale(VAS)score,leg pain VAS score and Oswestry disability index(ODI)score of the two groups at 6 months after surgery were lower than those before surgery,and group A was lower than group B,the differences were statistically significant(P＜0.05).The levels of prostaglandin E2(PGE2),tumor necrosis factor(TNF)-α,and cortisol(Cor)in both groups of patients were higher than those before surgery on day 1 after surgery,but the levels in group A were lower than those in group B,and the differences were statistically significant(P＜0.001).There was no significant difference in the incidence of postoperative complications between the two groups(P＞0.001).Conclusion:Compared with the transforaminel lumbar approach,the posterior interlaminar approach PTED has better effects,and can promote rehabilitation of the LDH patients,relieve pain,improve the lumbar vertebral function,and can reduce the traumatic stress.
Keywords：Lumbar disc herniationIntervertebral foramen microscopically with excision of nucleus pulposusSurgical approachRehabilitation processTraumatic stress
Publication Date：2026-02-10
Online Publishing Date：2026-03-16(First online date of this platform, not the publication date of the document)
Pages：4( 278-280,284 )