摘要
目的探讨Quadrant通道下经椎间孔椎体融合术治疗腰椎滑脱症的临床效果。方法选取2015年5月至2017年5月大同市第五人民医院治疗的腰椎滑脱症患者70例,根据手术方式分为观察组(n=30)和对照组(n=40)。观察组给予Quadrant通道下经椎间孔椎体融合术,对照组给予开放后路椎体融合术治疗,观察两组治疗疗效果。结果观察组和对照组临床疗效比较,差异未见统计学意义(P>0.05),两组优良率分别达到77.50%和86.67%;观察组切口长度和术中出血量少于对照组(P<0.05),手术时间长于对照组(P<0.05);观察组术后12个月椎间隙高度和滑脱角高于对照组(P<0.05),椎体滑脱率低于对照组(P<0.05);观察组术后12个月视觉模拟评分法(VAS)评分和障碍指数(ODI)低于对照组(P<0.05)。结论Quadrant通道下经椎间孔椎体融合术治疗腰椎滑脱症疗效较好,具有创伤小、出血少等优点。
Objective To investigate the clinical efficacy of transforaminal lumbar interbody fusion under Quadrant channel in the treatment of lumbar spondylolisthesis.Methods Seventy patients with lumbar spondylolisthesis treated in the Fifth People’s Hospital of Datong from May 2015 to May 2017 were selected,and the patients were divided into the observation group(n=30)and the control group(n=40)according to the operative methods.The observation group was treated with Quadrant channel transforaminal vertebral fusion,while the control group was treated with open posterior lumbar fusion.The therapeutic effects of the two groups were observed.Results There was no significant difference in clinical efficacy between the observation group and the control group(P>0.05),and the excellent and good rates of the two groups were 77.50%and 86.67%,respectively.The length of incision and the amount of bleeding in the observation group were significantly less than those in the control group(P<0.05),and the operation time was significantly longer than that in the control group(P<0.05).The height of the intervertebral space and slippery angle 12 months after operation in the observation group were significantly higher than those in the control group(P<0.05),while the spondylolisthesis rate was significantly lower than that in the control group(P<0.05).The Visual analogue scale(VAS)score and Oswestry disability index(ODI)in the observation group 12 months after operation were significantly lower than those in the control group(P<0.05).Conclusions Transforaminal lumbar interbody fusion under Quadrant channel is effective in treating lumbar spondylolisthesis,and has advantages of less trauma and less bleeding,etc.
作者
王晓云
王晓东
苟鹏国
刘付军
董友
Wang Xiaoyun;Wang Xiaodong;Gou Pengguo;Liu Fujun;Dong You(Department of Orthopedics,the Fifth People’s Hospital of Datong,Datong 037000,China)
出处
《中国实用医刊》
2019年第8期48-51,共4页
Chinese Journal of Practical Medicine
