TLIF与PLIF对腰椎管狭窄患者围术期指标及术后疼痛的影响对比  

Comparison of TLIF and PLIF on Perioperative Indicators and Postoperative Pain in Patients with Lumbar Spinal Stenosis

作　　者：赵显飞 ZHAO Xian-fei(Guizhou Qianxinan Hospital of Traditional Chinese Medicine,Guizhou Qianxinan 562400)

机构地区：[1]贵州省黔西南州中医院,贵州黔西南562400

出　　处：《中国医疗器械信息》2024年第10期36-38,130,共4页China Medical Device Information

摘　　要：目的:探析经椎间孔腰椎椎体间融合术(TLIF)与后路腰椎椎体间植骨融合术(PLIF)术式对腰椎管狭窄患者围术期指标及术后疼痛的影响。方法:择取2018年1月~2023年1月在医院行手术治疗的腰椎管狭窄患者100例,随机分为2组,对照组(n=50)和试验组(n=50),对照组给予PLIF治疗,试验组给予TLIF治疗,比较两组患者围术期指标(手术时间、手术切口、术中出血量、术后引流量以及引流放置时间)、腰椎融合情况[改良Oswestry腰椎功能指数(ODI)/日本骨科协会评估治疗分数(JOA)]、疼痛情况[视觉模拟评分法(VAS)]及并发症。结果:试验组手术时间、卧床时间短于对照组,术中出血量及术后引流量少于对照组(P<0.05);术后1个月,两组ODI、JOA均低于术前,且试验组低于对照组(P<0.05);术后1个月,两组VAS均低于术前,且试验组低于对照组(P<0.05);试验组患者并发症发生率低于对照组(P>0.05)。结论:相较于PLIF,TLIF对于腰椎管狭窄患者创伤性较少,可有效改善患者腰椎功能,减轻术后疼痛程度,降低并发症的发生。Objective:To analyze the effects of transforaminal lumbar intervertebral fusion(TLIF)and posterior lumbar intervertebral bone graft fusion(PLIF)on perioperative index and postoperative pain in patients with lumbar spinal stenosis.Methods:100 patients with lumbar spinal stenosis who underwent surgical treatment in hospitals from January 2018 to January 2023 were randomly divided into two groups:a control group(n=50)and an experimental group(n=50).The control group received PLIF treatment,while the experimental group received TLIF treatment.The perioperative indicators(surgical time,surgical incision,intraoperative bleeding,postoperative drainage volume,and drainage placement time),lumbar fusion status(modified Oswestry Lumbar Functional Index(ODI)/Japanese Orthopedic Association Assessment Treatment Score(JOA)),pain status(Visual Analog Scale(VAS)),and complications were compared between the two groups of patients.Results:The experimental group had shorter surgical time and bed rest time compared to the control group,with less intraoperative bleeding and postoperative drainage volume compared to the control group(P<0.05);1 month after surgery,two groups of ODIs JOA was lower than preoperative levels,and the experimental group was lower than the control group(P<0.05);1 month after surgery,the VAS of both groups was lower than before surgery,and the experimental group was lower than the control group(P<0.05);The incidence of complications in the experimental group was lower than that in the control group(P>0.05).Conclusion:Compared with PLIF,TLIF is less traumatic for patients with lumbar spinal stenosis,which can effectively improve the lumbar spine function,reduce the postoperative pain degree,and reduce the occurrence of complications.

关 键 词：经椎间孔腰椎椎体间融合术 后路腰椎椎体间植骨融合术 腰椎管狭窄 

分 类 号：R687.3[医药卫生—骨科学]