摘要
目的探讨微创经椎间孔腰椎间融合术(MIS-TLIF)联合减压术治疗腰椎管狭窄的效果及安全性分析。方法选取我院2015年1月-2018年1月收治的80例腰椎管狭窄患者,按随机数字表法分为两组,每组40例。对照组采用后路腰椎椎间融合术(PLIF),观察组采用MIS-TLIF联合单侧入路双侧减压术法。观察两组围手术期相关指标,并对术后恢复情况进行评分,统计并发症发生情况,以及评定疗效。结果围手术期,观察组术中出血量,术后引流量、卧床时间、住院时间均低于对照组(P<0.05);术后3个月、6个月,观察组腰椎JOA评分、腰痛VAS评分均优于同期的对照组(P<0.05);观察组并发症发生率5.00%,低于对照组为20.00%(P<0.05);观察组总优良率92.50%,高于对照组为75.00%(P<0.05)。结论采用MIS-TLIF术联合减压术治疗腰椎管狭窄,恢复效果好,能够缓解临床症状,且具有较高的安全性,疗效满意,值得应用。
Objective To investigate the effect and safety of mis-tlif combined with decompression in the treatment of lumbar spinal stenosis.Methods 80 patients with lumbar spinal stenosis admitted in our hospital from January 2015 to January 2018 were randomly divided into two groups, 40 in each group.PLIF was used in the control group and MIS-TLIF combined with unilateral approach and bilateral decompression was used in the observation group.Observe the indexes of the two groups, count the incidence of complications, and evaluate the curative effect.Results The perioperative period, the amount of bleeding, postoperative drainage, bed time and hospitalization time in the observation group were significantly lower(P<0.05).At 3 and 6 months after operation, JOA score and VAS score of lumbar pain in the observation group were significantly better(P<0.05).The incidence of complications in the observation group was 5.00% lower than that the control group 20.00%(P<0.05).The total excellent and good rate of the observation group was 92.50% higher than the control group 75.00%(P<0.05).Conclusion MIS-TLIF combined with decompression in the treatment of lumbar spinal stenosis has definite curative effect and high safety.
作者
代耀军
卢中道
杨勇
Dai Yaojun;Lu Zhongdao;Yang Yong(Zhengzhou Orthopaedic Pospital,Zhengzhou city,Henan province,450000)
出处
《辽宁医学杂志》
2021年第2期71-74,共4页
Medical Journal of Liaoning
