摘要
目的观察通道辅助下微创经椎间孔椎体间融合术(MIS-TLIF)治疗腰椎退行性疾病的效果。方法选取2017年1月至2018年5月阳春市中医院收治的腰椎退行性疾病患者50例,按照手术方式分为研究组和对照组,每组25例。研究组采用通道辅助下MIS-TLIF治疗,对照组采用常规后路开放式的腰椎融合内固定术治疗。比较分析两组术后引流量、术中出血量、手术时间及功能障碍指数问卷表(ODI)评分、日本骨科协会评估治疗(JOA)评分、视觉模拟评分法(VAS)评分等情况。结果研究组术中出血量、手术时间及术后引流量少于对照组,差异有统计学意义(P<0.05)。两组术前ODI评分、JOA评分及VAS评分比较差异未见统计学意义(P>0.05);术后,研究组ODI评分、JOA评分及VAS评分均低于照组,差异有统计学意义(P<0.05)。结论通道辅助下MIS-TLIF可以缩短手术时间,减少术中出血量及术后引流量,且治疗效果显著,值得在临床中推广应用。
Objective To observe the effect of channel-assisted minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) on lumbar degenerative diseases. Methods Fifty patients with lumbar degenerative diseases admitted to Yangchun Hospital of Traditional Chinese Medicine from January 2017 to May 2018 were selected, and they were divided into study group and control group according to the operation methods, with 25 cases in each group. Patients in study group were treated by channel-assisted MIS-TLIF, while patients in control group were treated by open posterior lumbar fusion and internal fixation. The drainage volume, intraoperative bleeding volume, operation time, Oswestry disability index (ODI) score, Japanese Orthopedic Association (JOA) score and visual analogue scale (VAS) score of the two groups were compared and analyzed. Results The blood volume, operation time and drainage volume of study group were lower than those of control group (P<0.05). There was no significant difference in ODI score, JOA score or VAS score between the two groups before operation (P>0.05);after operation, ODI score, JOA score and VAS score in study group were significantly lower than those in control group (P<0.05). Conclusions MIS-TLIF can shorten the operation time, reduce intraoperative bleeding and postoperative drainage, with remarkable treatment effects, which is worth widespread application in clinical.
作者
黄海翔
邹信明
何荣龙
廖剑
洪永龙
Huang Haixiang;Zou Xinming;He Ronglong;Liao Jian;Hong Yonglong(Department of Orthopedics, Yangchun Hospital of Traditional Chinese Medicine, Yangchun 529600, China)
出处
《中国实用医刊》
2019年第7期62-65,共4页
Chinese Journal of Practical Medicine
关键词
椎间融合
腰椎退行性疾病
经椎间孔融合
微创
可扩张通道
Intervertebral fusion
Lumbar degenerative disease
Intervertebral foramen fusion
Minimally invasive
Expansible access
