摘要
目的探讨分析MIS-TLIF治疗腰椎管狭窄合并腰椎不稳的临床疗效。方法通过方便选取于2018年5月—2019年5月期间在该院行手术治疗符合腰椎管狭窄合并腰椎不稳症的100例患者展开研究,随机划分为各50例的对照组和观察组。对照组行传统开放手术治疗,观察组患者行MIS-TLIF治疗。对比分析两组患者的临床治疗优良率、手术情况及术前术后的VAS评分改善情况。结果观察组较对照组的临床治疗优良率明显少,两组分别为94.0%(47/50)、80.00%(40/50),差异有统计学意义(χ^2=4.332 P<0.05);除手术时间外,观察组优于对照组的围术期各检测指标手术情况差异有统计学意义(P<0.05);两组术前术后VAS评分改善显著,且观察组术后1周、3个月VAS评分改善情况较对照组明显优,差异有统计学意义(t=5.598,8.523,P<0.05)。结论对腰椎管狭窄合并腰椎不稳患者行MIS-TLIF治疗,能够取得较好的临床疗效,且能够减少患者的术中出血量,缩减手术时间改善身体疼痛程度,从而提高患者的临床预后。
Objective To explore and analyze the clinical efficacy of MIS-TLIF in the treatment of lumbar spinal stenosis combined with lumbar instability.Methods From May 2018 to May 2019,100 patients who underwent surgical treatment of lumbar spinal stenosis and lumbar instability in the hospital were convenient selected to conduct a study,and they were randomly divided into a control group and an observation group of 50 cases.The control group received traditional open surgery,and the observation group received MIS-TLIF treatment.Comparative analysis of the clinical treatment excellent and good rate,operation status and the improvement of VAS scores before and after the operation of the two groups of patients.Results The clinical treatment excellent and good rate of the observation group was significantly lower than that of the control group.The two groups were 94.00%(47/50)and 80.00%(40/50)respectively.The difference was statistically significant(χ~2=4.332,P<0.05);Except for operation time,compared with the control group,the perioperative detection index of the observation group was better.The difference was statistically significant(P<0.05);the preoperative and postoperative VAS scores of the two groups improved significantly,and the improvement of VAS score in the observation group one week and three months after operation was significantly better than that in the control group,and the differencewas statistically significant(t=5.598,5.523,P<0.05).Conclusion MIS-TLIF treatment for patients with lumbar spinal stenosis and lumbar instability can achieve good clinical effects,and can reduce the patient’s intraoperative blood loss,shorten the operation time and improve the degree of physical pain,thereby improving the clinical prognosis of the patient.
作者
张万强
ZHANG Wan-qiang(Department of Orthopedics,Sishui County People's Hospital,Sishui,Shandong Province,273200 China)
出处
《中外医疗》
2020年第24期41-43,共3页
China & Foreign Medical Treatment
