基于微创经椎间孔腰椎椎体间融合术的不同切口减压技术在腰椎退行性疾病中的应用效果  

Application Effects of Different Incision Decompression Techniques on Degenerative Lumbar Disease Based on Minimally Invasive Transforaminal Lumbar Interbody Fusion

作　　者：刘威[1] 刘琦[1] 朱中周 LIU Wei;LIU Qi;ZHU Zhongzhou(Department of Orthopedics,Suiping Hospital of Traditional Chinese Medicine,Zhumadian 463000,China)

机构地区：[1]遂平县中医院骨科,河南驻马店463000

出　　处：《河南医学研究》2022年第14期2586-2590,共5页Henan Medical Research

摘　　要：目的探讨基于微创经椎间孔腰椎椎体间融合术(MIS-TLIF)的不同切口减压技术在腰椎退行性疾病患者中的应用效果。方法选取2018年1月至2020年10月遂平县中医院收治的100例腰椎退行性疾病患者,根据随机数字表法将其分为对照组和观察组,各50例。基于MIS-TLIF,对照组接受单侧长切口减压技术,观察组接受双侧短切口减压技术。比较两组手术情况、腰腿部视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、生活质量评分、MacNab满意度以及融合率。结果观察组手术时间、X线透视时间短于对照组,术中出血量少于对照组(P<0.05);术前、术后6个月及术后1 a,两组腰部VAS评分、腿部VAS评分、ODI指数比较,差异无统计学意义(P>0.05);术后6个月及术后1 a,两组腰部VAS评分、腿部VAS评分、ODI指数低于术前(P<0.05);术前、术后6个月及术后1 a,两组简明健康状况调查表(SF-36)生理评分、SF-36心理评分比较,差异无统计学意义(P>0.05);术后6个月、术后1 a,两组SF-36生理评分、SF-36心理评分高于术前(P<0.05);两组MacNab满意度及融合率比较,差异无统计学意义(P>0.05)。结论MIS-TLIF术中采用双侧短切口减压技术与单侧长切口减压技术治疗腰椎退行性疾病的临床效果相近,双侧短切口减压技术可缩短手术时间及X线透视时间,减少患者术中出血量。Objective To explore the application effect of different incision decompression techniques in patients with degenerative lumbar disease based on minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF).Methods A total of 100 patients with degenerative lumbar disease admitted to Suiping Hospital of Traditional Chinese Medicine from January 2018 to October 2020 were selected and divided into control group and observation group according to the random number table method,with 50 cases in each group.Based on MIS-TLIF,the control group accepted unilateral long incision decompression technology,and the observation group accepted bilateral short incision decompression technology.Surgery index,visual analogue scale(VAS)of waist and leg,Oswestry dability index(ODI),quality of life score,MacNab satisfaction and fusion rate of the two groups were compared.Results The operation time and X-ray fluoroscopy time in the observation group were shorter than those in the control group,and intraoperative blood loss was less than that in the control group(P<0.05).Before operation,6 months after operation and 1 year after operation,there were no statistical differences in waist VAS score,leg VAS score and ODI index between the two groups(P>0.05),and 6 months after operation and 1 year after operation,the waist VAS score,leg VAS score and ODI index of the two groups were lower than those before operation(P<0.05).Before operation,6 months after operation and 1 year after operation,there were no statistical differences between the two groups in 36-item short form survey(SF-36)physiological score and SF-36 psychological score(P>0.05).and 6 months after operation and 1 year after operation,the SF-36 physiological score and SF-36 psychological score of the two groups were higher than those before operation(P<0.05).There were no statistical differences in MacNab satisfaction and fusion rate between the two groups(P>0.05).Conclusion The clinical efficacy of bilateral short incision decompression technique and unilateral long incisi

关 键 词：腰椎退行性疾病 单侧长切口 双侧短切口 微创经椎间孔腰椎椎体间融合术 

分 类 号：R681.57[医药卫生—骨科学]