ObjectiveTo compare the clinical effect of minimally invasive surgery with small incision fenestration and lateral intervertebral foramina endoscopy in the treatment of L5/S1 disc herniation. MethodsA total of 102 patients with L5/S1 disc herniation were selected and divided into control group (50 cases) and observation group (52 cases) according to different surgical methods. Patients in the control group were administered lateral intervertebral foramenina endoscopy, while the observation group were treated with minimally invasive surgery with small incision fenestration. The operation duration, intraoperative bleeding volume and incision length, as well as the visual analogue scale (VAS) scores before surgery, on the first day and 1 month after surgery were compared between the two groups. ResultsCompared to the control group, patients in the observation group obtained longer operation duration, less intraoperative bleeding volume, shorter incision length; whereas lower VAS scores on the first day and 1 month after surgery (all P＜0.05). ConclusionThe therapeutic effect of minimally invasive surgery with small incision fenestration for L5/S1 disc herniation is more significant compared to lateral intervertebral foramen endoscopy, with small incision, reduced intraoperative bleeding volume, alleviated postoperative pain, and thus it can improve the prognosis quality and is worthy of promotion.

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