Mast Quadrant系统下经椎间孔椎间融合术治疗腰椎管狭窄症的临床效果  

The clinical effect of TLIF in the treatment of lumbar spinal stenosis under Mast Quadrant system

作　　者：石云志[1] Shi Yunzhi(Department of Orthopedics,Qinhuangdao Third Hospital,Qinhuangdao 066000,China)

机构地区：[1]秦皇岛市第三医院骨科,066000

出　　处：《中华保健医学杂志》2018年第4期295-297,共3页Chinese Journal of Health Care and Medicine

基　　金：秦皇岛市科学技术局项目(201703A159)

摘　　要：目的探讨Mast Quadrant系统下经椎间孔椎间融合术(TLIF)治疗腰椎管狭窄症的临床效果。方法选取2017年1月~10月在秦皇岛市第三医院治疗的单节段腰椎管狭窄症患者60例,采用随机数表法将患者分为观察组(n=31)和对照组(n=29),观察组行Mast Quadrant系统下TLIF术治疗,对照组给予传统开放TLIF术治疗,观察两组临床疗效,采用日本矫形科学学会脊髓功能评分表(JOA)、Oswestry功能障碍指数(ODI)和疼痛视觉模拟评分(VAS)评分评价患者腰椎功能、生活质量及疼痛程度。结果观察组和对照组临床疗效优良率分别为64.52%和41.38%,观察组临床疗效明显高于对照组,差异有统计学意义(P<0.05);观察组手术时间、术中出血量和住院天数分别为(102.15±20.43)min、(30.15±8.22)ml和(9.03±1.25)d,明显低于对照组(P<0.05);观察组术后3个月和6个月JOA评分分别为(25.48±1.32)分和(27.84±1.16)分,明显高于对照组,差异有统计学意义(P<0.05);观察组术后3个月和6个月ODI评分、VAS评分分别为(26.54±1.50)分和(22.01±1.54)分、(1.58±0.46)分和(0.56±0.23)分,明显低于对照组,差异有统计学意义(P<0.05)。结论 Mast Quadrant系统下TLIF术治疗腰椎管狭窄症有较好的临床效果,具有创伤小、安全、恢复快等优点。Objective This study explored the clinical effect of transforaminal lumbar interbody fusion（TLIF） under Mast Quadrant systemin the treatment of lumbar spinal stenosis. Methods 60 patients with single segment lumbar spinal stenosis treated in our hospital from Jan 2017 to Oct 2017 were randomly divided into observation group（n=31） and control group（n=29） by random number table. The observation group was treated with TLIF under Mast Quadrant system,and the control group was treated with traditional open TLIF,the clinical efficacy of the two groups were observed,the Japanese Orthopaedic Association（JOA）spinal function,Oswestry disability index（ODI） and pain visual analogue scale（VAS） were used to evaluate lumbar function,quality of life and pain degree. Results The clinical efficacy of the observation group was significantly higher than that of the control group（P 〈0.05）,and the excellent and good rate of clinical effect in the observation group was 64.52%;The operative time,intraoperative blood loss and hospitalization days in the observation group were（102.15 ± 20.43）min,（30.15 ± 8.22） ml and（9.03 ± 1.25）d,which were significantly lower than those in the control group（P 〈0.05）;The score of JOA in the observation group in 3 months and 6 months after operation were（25.48 ± 1.32） and（27.84 ± 1.16）,which were significantly higher than that of the control group（P 〈0.05）;3 and 6 months after operation,the ODI score and VAS score in the observation group were（26.54 ± 1.50） scores and（22.01 ± 1.54）scores,（1.58 ± 0.46） scores and（0.56 ± 0.23） scores,which were significantly lower than those in the control group（P〈 0.05）.Conclusion The effect of TLIF under Mast Quadrant system in the treatment of lumbar spinal stenosis has good clinical effect,thus has the advantages such as small trauma, safe and quick recovery etc.

关 键 词：MAST QUADRANT系统 经椎间孔椎间融合术 腰椎管狭窄症 临床效果 

分 类 号：R681.57[医药卫生—骨科学]