单边双通道技术在腰椎病变中的应用  

Application of unilateral biportal technique in the treatment of lumbar diseases

作　　者：孙付杰[1] 陈山成[1] 聂文波[1] 邹士东 汪明星[1] SUN Fu-jie;CHEN Shan-cheng;NIE Wen-bo(Shanxian County Central Hospital,Heze 274300,China)

机构地区：[1]单县中心医院,274300

出　　处：《中国实用医药》2022年第16期27-30,共4页China Practical Medicine

摘　　要：目的分析单边双通道技术治疗腰椎病变的效果。方法60例腰椎间盘突出症及腰椎管狭窄症患者,根据治疗方式不同分成实验组与参照组,各30例。实验组采取单边双通道技术治疗,参照组采取全椎板减压髓核摘除椎间植骨融合椎弓根螺钉内固定术治疗。比较两组手术前后的Oswestry功能障碍指数问卷(ODI)评分、日本骨科协会评估治疗(JOA)评分、视觉模拟评分法(VAS)评分、手术相关指标。结果术后3个月,实验组ODI评分(12.35±1.26)分低于参照组的(16.90±1.75)分,JOA评分(24.67±4.85)分高于参照组的(21.12±5.06)分,差异均有统计学意义(P<0.05)。术后3个月,实验组VAS评分(2.01±0.12)分低于参照组的(2.98±0.59)分,差异有统计学意义(P<0.05)。实验组术中出血量(23.15±4.06)ml少于参照组的(62.59±8.40)ml,手术时间(65.25±11.23)min、住院时间(6.56±1.08)d短于参照组的(82.79±12.38)min、(14.59±3.29)d,差异有统计学意义(P<0.05)。结论腰椎间盘突出症及腰椎管狭窄症患者在临床中采取单边双通道技术治疗,可以促使患者腰椎功能改善。Objective To analyze the effect of unilateral biportal technique in the treatment of lumbar diseases.Methods A total of 60 patients with lumbar disc herniation and lumbar spinal stenosis were divided into experimental group and reference group according to different treatment methods,with 30 cases in each group.The experimental group was treated with unilateral biportal technique,and the reference group was treated with total laminar decompression and intervertebral bone fusion and internal fixation.The Oswestry disability index(ODI)score,Japanese Orthopaedic Association(JOA)score,visual analogue scale(VAS)score,and surgery-related indicators before and after surgery were compared between the two groups.Results At 3 months after surgery,the ODI score(12.35±1.26)points of the experimental group was lower than(16.90±1.75)points of the reference group,and the JOA score(24.67±4.85)points was higher than(21.12±5.06)points of the reference group.All the differences were statistically significant(P<0.05).At 3 months after surgery,the VAS score(2.01±0.12)points of the experimental group was lower than(2.98±0.59)points of the reference group,and the difference was statistically significant(P<0.05).The intraoperative blood loss(23.15±4.06)ml in the experimental group was less than(62.59±8.40)ml in the reference group,and the operation time(65.25±11.23)min and hospitalization time(6.56±1.08)d were shorter than(82.79±12.38)min and(14.59±3.29)d in the reference group.All the differences were statistically significant(P<0.05).Conclusion Unilateral biportal technique for patients with lumbar disc herniation and lumbar spinal stenosis can promote the improvement of lumbar spine function.

关 键 词：腰椎病变 腰椎间盘突出症 腰椎管狭窄症 单边双通道技术 全椎板减压 椎间植骨融合内固定 腰椎功能 

分 类 号：R687.3[医药卫生—骨科学]