Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research 7-jild 2-son (2026)
COMPARATIVE ANALYSIS OF ENDOSCOPIC AND MICRODISCECTOMY FOR LUMBAR DISC HERNIATIONS IN THE CONDITIONS OF THE REPUBLIC OF UZBEKISTAN
Якубов Ахрор Туйчиевич, Алиев Мансур Абдухоликович, Турсунов Жахонгир Гулом угли
Annotatsiya
This prospective cohort study enrolled 124 patients who underwent lumbar disc herniation surgery at the multidisciplinary clinic of Samarkand State Medical University in 2024–2025. A comparative analysis of endoscopic (n=62) and microsurgical discectomy (n=62) was performed, assessing pain intensity (VAS), functional status (ODI), and direct medical costs. Both techniques demonstrated comparable clinical efficacy: at 12 months, VAS scores were 1.4±0.8 and 1.6±0.9 points, respectively (p=0.27). The endoscopic group showed significant advantages in reduced intraoperative blood loss (38.5±15.2 mL vs. 96.7±28.4 mL; p<0.001) and shorter hospital stay (2.1±0.6 vs. 4.3±1.1 days; p<0.001), despite longer operative time (68.4±12.7 vs. 61.2±10.5 min; p=0.01) attributable to the learning curve. Economic analysis using ICER confirmed the feasibility of implementing endoscopic technology in specialized hospitals of the Republic of Uzbekistan, considering reduced bed-days and earlier return to work.
грыжа межпозвонкового диска; поясничный отдел позвоночника; эндоскопическая дискэктомия; микродискэктомия; сравнительный анализ; минимально инвазивная хирургия; радикулопатия; индекс Освестри; визуально-аналоговая шкала; экономическая эффективность; Республика Узбекистан.intervertebral disc herniation; lumbar spine; endoscopic discectomy; microdiscectomy; comparative analysis; minimally invasive surgery; radiculopathy; Oswestry Disability Index; visual analogue scale; cost-effectiveness; Republic of Uzbekistanumurtqalararo disk churrasi; bel umurtqalari; endoskopik diskektomiya; mikrodiskektomiya; qiyosiy tahlil; minimal invaziv jarrohlik; radikulopatiya; Oswestry nogironlik indeksi; vizual analog shkala; iqtisodiy samaradorlik; Oʻzbekiston Respublikasi.
Metadata manbasi: jurnal OAI-PMH arxivi · Sindex toʻliq matnni saqlamaydi, manbaga havola beradi.