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논문 기본 정보

자료유형
학술저널
저자정보
Zhiqiang Ren (Shenzhen Traditional Chinese Medicine Hospital) Shenghua He (Shenzhen Traditional Chinese Medicine Hospital) Jiao Li (Shenzhen Hospital of Guangzhou University of Chinese Medicine) Yeguang Wang (Shenzhen Traditional Chinese Medicine Hospital) Juyi Lai (Shenzhen Traditional Chinese Medicine Hospital) Zhitao Sun (Shenzhen Traditional Chinese Medicine Hospital) Hualong Feng (Shenzhen Traditional Chinese Medicine Hospital) Jian Wang (Shenzhen Traditional Chinese Medicine Hospital)
저널정보
대한척추신경외과학회 Neurospine 대한척추신경외과학회지 제17권 제1호
발행연도
2020.1
수록면
254 - 259 (6page)

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Objective: To assess the safety and effectiveness of percutaneous endoscopic lumbar discectomy (PELD) under epidural anesthesia (EA) and general anesthesia (GA) for treating lumbar disc herniation (LDH). Methods: A retrospective study involving 86 patients with LDH managed by PELD under EA and GA was conducted from July 2018 to March 2019. These patients were divided into 2 groups according to the type of anesthesia. Patient’s demographics data as well as the operation time, complications, fluoroscopy shots, visual analog scale (VAS), Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA), and MacNab scores of the 2 groups were recorded. All of the patients were followed-up at 6 months after operation. Results: There were no significant differences were detected in the preoperative demographics between the groups (p>0.05). Two cases (4.8%) under GA developed transient motor weakness, 3 cases (7.4%) presented numbness of lower limb, and 1 case (2.4%) had cauda equina syndrome after operation. In EA group, 1 case (2.2%) had motor weakness and 3 cases (6.7%) had lower limb numbness, which resolved completely at the last follow-up. There was significant difference between preoperative VAS, JOA, and ODI scores and postoperative scores (p<0.01). Moreover, there were no differences in the operation time, fluoroscopy shots, and MacNab scores between the 2 groups (p>0.05). Conclusion: EA and GA in PELD are effective and safe, and no significant difference in complications was observed. Based on our experience, we recommended junior surgeons to perform PELD under EA for getting feedback from the patient to avoid nerve injury and reduce the radiation dose. The concentration of ropivacaine in EA should be considered carefully.
#Epidural anesthesia #General anesthesia #Percutaneous endoscopic lumbar discectomy #Lumbar disc herniation

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참고문헌 (24)

참고문헌 신청
Tarulli AW / 2007 / Lumbosacral radiculopathy / Neurol Clin 25:387~405 google schola Walker BF / 2003 / Low back pain in Australian adults : the economic burden / Asia Pac J Public Health 15:79~87 google schola Liu X / 2018 / Comparison of percutaneous endoscopic transforaminal discectomy, microendoscopic discectomy, and microdiscectomy for symptomatic lumbar disc herniation : minimum 2-year follow-up results / J Neurosurg Spine 28:317~325 google schola Ruan W / 2016 / Comparison of percutaneous endoscopic lumbar discectomy versus open lumbar microdiscectomy for lumbar disc herniation : a meta-analysis / Int J Surg 31:86~92 google schola Benoist M / 2002 / The natural history of lumbar disc herniation and radiculopathy / Joint Bone Spine 69:155~160 google schola

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