摘要
目的 观察微创椎间孔入路腰椎融合术与常规椎间孔入路腰椎融合术在腰椎管狭窄症中的治疗效果。方法 我们收集了淮阳楚氏骨科医院2020年3月至2022年3月期间的100例腰椎管狭窄症患者资料。根据随机对照数字表,将这些患者分为观察组(n=50)和对照组(n=50),比较了两组患者在以下手术观察指标方面的差异:手术切口长度、手术持续时间、术中出血量、术中透视次数、术后伤口引流量、术后下地时间和平均住院天数。同时,我们使用视觉模拟评分法(visual analogue scale,VAS)和腰椎Oswestry功能障碍指数(oswestry disability index,ODI)来评估两组患者在术前、术后3个月、6个月和12个月的腰部和腿部疼痛程度以及腰椎功能情况。我们还统计了两组患者术后的并发症情况。结果 察组患者手术切口长度、术中出血量、术后伤口引流量、术后下地时间和平均住院天数均短于对照组患者(P<0.05)。但是观察组患者术中透视次数和手术持续时间均多于对照组患者(P<0.05)。两组患者通过治疗后腰腿VAS评分,ODI评分与治疗前相比明显降低(P<0.05)。其中,观察组患者术后3、6、12个月时腰腿VAS评分,ODI评分均低于对照组患者(P<0.05)。对照组患者与观察组患者术后并发症发生率无统计学拆(P=0.617)。结论 微创经椎间孔入路腰椎融合术作为治疗腰椎管狭窄症的手术方式,具有创口小、恢复周期短的优势能显著提升腰椎的功能性,缓解腰腿部的疼痛,不会增加不良反应的发生。
Objective To observe the therapeutic effect of minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF)and conventional transforaminal lumbar interbody fusion(TLIF)in the treatment of lumbar spinal stenosis.Methods We collected 100 patients with double-segment lumbar spinal stenosis treated at Huaiyang Chu Orthopedics Hospital from March 2020 to March 2022.According to the random number table,the patients were divided into the observation group(n=50)and the control group(n=50).We compared surgical parameters,including incision length,operation time,intraoperative blood loss,number of fluoroscopy during surgery,postoperative wound drainage volume,time to ambulation,and average hospital stay.The visual analogue scale(VAS)and Oswestry Disability Index(ODI)were used to evaluate the degree of lumbar and leg pain and lumbar spine function at preoperative,and 3 months,6 months,and 12 months postoperative.The postoperative complications were recorded.ResultsThe operation incision length,intraoperative blood loss,postoperative wound drainage volume,time to ambulation,and average hospital stay in the observation group were all shorter than those in the control group(P<0.05).However,the number of intraoperative fluoroscopy and operation duration in the observation group were more than those in the control group(P<0.05).After treatment,the VAS scores and ODI scores of the two groups were significantly reduced compared with before treatment(P<0.05).The VAS and ODI scores in the observation group were lower than those in the control group at 3,6,and 12 months postoperative(P<0.05).There was no statistical difference in the incidence of postoperative complications between the two groups(P=0.617).ConclusionMIS-TLIF as a surgical method for the treatment of double-segment lumbar spinal stenosis has advantages of smaller incisions,shorter recovery period,significant improvement of lumbar function,relief of lumbar and leg pain,without increasing the incidence of adverse reactions.
作者
袁灵恩
亢军义
曹臣
YUAN Ling-en;KANG Jun-yi;CAO Chen(Huaiyang Chu Orthopaedic Hospital,Zhoukou 466700,Henan Province,China;People's Hospital of Henan Province,Zhengzhou 450003,Henan Province,China)
出处
《罕少疾病杂志》
2024年第6期98-100,共3页
Journal of Rare and Uncommon Diseases
基金
河南省医学科技攻关计划(联合共建)项目(LHGJ20190575)。
关键词
微创椎间孔入路腰椎融合术
常规椎间孔入路腰椎融合术
腰椎管狭窄症
不良反应
Minimally Invasive Transforaminal Lumbar Interbody Fusion
Conventional Transforaminal Lumbar Interbody Fusion
Lumbar Spinal Stenosis
Adverse Reactions
