微创通道经椎间孔入路与开放经椎间孔腰椎椎体间融合术治疗老年性腰椎退行性病变的疗效观察  

Efficacy Observation of Minimally Invasive Transforaminal Approach and Open Transforaminal Lumbar Interbody Fusion Surgery in Treatment of Senile Lumbar Degenerative Lesions

作　　者：刘美富 吴秀锋 丁思齐 陈彪 何从科 Liu Meifu;Wu Xiufeng;Ding Siqi;Chen Biao;He Congke(The Second People's Hospital of Panzhou,Panzhou 553537,Guizhou Province,China)

机构地区：[1]盘州市第二人民医院,贵州盘州553537

出　　处：《中国社区医师》2024年第23期35-37,共3页Chinese Community Doctors

摘　　要：目的:探讨微创通道经椎间孔入路与开放经椎间孔腰椎椎体间融合术治疗老年性腰椎退行性病变的疗效。方法:回顾性分析2023年1月—2024年1月盘州市第二人民医院收治的老年性腰椎退行性病变患者88例,其中实施开放经椎间孔腰椎椎体间融合术患者54例,作为对照组;实施微创通道经椎间孔入路椎体间融合术患者34例,作为观察组。比较两组治疗效果。结果:观察组患者手术时间、手术切口长度、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。两组患者术后3个月疼痛、腰椎功能障碍评分低于术前,腰椎功能评分高于术前,且观察组优于对照组,差异有统计学意义(P<0.05)。两组患者术后3个月Cobb角、椎间孔高度和椎间孔面积高于术前,差异有统计学意义(P<0.05);但两组术后3个月各指标比较,差异无统计学意义(P>0.05)。观察组患者术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:采用微创通道经椎间孔入路椎体间融合术治疗老年性腰椎退行性病变的疗效显著,能明显改善手术指标,缓解疼痛度,提升腰椎功能,降低并发症发生率。Objective:To explore the efficacy of minimally invasive transforaminal approach and open transforaminal lumbar interbody fusion surgery in the treatment of senile lumbar degenerative lesions.Methods:A total of 88 elderly patients with lumbar degenerative lesions who were admitted to the Second People's Hospital of Panzhou from January 2023 to January 2024 were retrospectively analyzed.A total of 54 patients undergoing open transforaminal lumbar interbody fusion were included in the control group,and a total of 34 patients undergoing minimally invasive transforaminal lumbar interbody fusion were included in the observation group.Comparison of treatment effects between the two groups.Results:The operation time,surgical incision length and hospital stay in the observation group were shorter than those in the control group,the intraoperative blood loss in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).At 3 months after surgery,the scores of pain and lumbar dysfunction in the two groups were lower than those before surgery,the lumbar function score in the two groups was higher than that before surgery,and the score in the observation group better than control group,with a statistically significant difference(P<0.05).At 3 months after surgery,the Cobb angle,foraminal height and foraminal area in the two groups were higher than those before surgery,and the difference was statistically significant(P<0.05).However,there was no significant difference in each indicator between the two groups at 3 months after surgery(P>0.05).The incidence of postoperative complications in the observation group was significantly better than control group,and the difference was statistically significant(P<0.05).Conclusion:Minimally invasive transforaminal lumbar interbody fusion is effective in the treatment of senile lumbar degenerative lesions,and can significantly improve surgical indicators,relieve pain,improve lumbar spine function and reduce the incidence of complic

关 键 词：老年性腰椎退行性病变 微创通道 开放经椎间孔腰椎椎体间融合术 疼痛度 腰椎功能 

分 类 号：R687.3[医药卫生—骨科学]