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.
| Mualliflar | Якубов Ахрор Туйчиевич, Алиев Мансур Абдухоликович, Турсунов Жахонгир Гулом угли |
|---|---|
| Jurnal | Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research |
| Nashr sanasi | 2026-03-24 |
| Jild | 7 |
| Son | 2 |
| Til | Rus |
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 Uzbekistan, umurtqalararo disk churrasi; bel umurtqalari; endoskopik diskektomiya; mikrodiskektomiya; qiyosiy tahlil; minimal invaziv jarrohlik; radikulopatiya; Oswestry nogironlik indeksi; vizual analog shkala; iqtisodiy samaradorlik; Oʻzbekiston Respublikasi.
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