Sciatica caused by lumbar disc herniation is a frequently encountered disease in the general population.1 Even though the natural course is favourable, due to its high prevalence, lumbar discectomy is a frequently performed procedure resulting in high costs for society. Conventional open microdiscectomy is seen as the standard procedure to treat sciatica. Surgical innovation and the development of endoscopes have led to the development of endoscopic techniques such as percutaneous transforaminal endoscopic discectomy (PTED).2 These techniques were developed with the intention of reducing surgical invasiveness and thus improving patient outcomes. A recent meta-analysis showed moderate-level evidence of no differences in leg pain reduction between PTED and microdiscectomy. Furthermore, it showed …

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信息图表。内窥镜与开放式椎间盘切除术治疗坐骨神经痛？哪个更划算？


腰椎间盘突出症引起的坐骨神经痛是普通人群中常见的疾病。1 尽管自然病程良好，但由于其患病率较高，腰椎间盘切除术是一种经常进行的手术，导致社会成本较高。传统的开放式显微椎间盘切除术被视为治疗坐骨神经痛的标准手术。外科手术的创新和内窥镜的发展促进了内窥镜技术的发展，例如经皮椎间孔内窥镜椎间盘切除术 (PTED)。2 开发这些技术的目的是减少手术侵入性，从而改善患者的治疗效果。最近的一项荟萃​​分析显示，中等水平的证据表明 PTED 和显微椎间盘切除术在减轻腿部疼痛方面没有差异。此外，它还表明……