Quadrant通道下腰椎微创融合术治疗腰椎间盘突出症的临床效果分析  

Clinical Effect Analysis of Minimally Invasive Lumbar Fusion under Quadrant Channel for Lumbar Intervertebral Disc Herniation

作　　者：尉志强 Yu Zhiqiang(Department of Orthopedics,Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院骨科,北京100078

出　　处：《中国社区医师》2024年第26期34-36,共3页Chinese Community Doctors

摘　　要：目的:探究Quadrant通道下腰椎微创融合术治疗腰椎间盘突出症的临床效果。方法:选取2019年5月—2020年5月北京中医药大学东方医院收治的74例腰椎间盘突出症患者作为研究对象,随机分为两组,各37例。常规组采用开放式腰椎融合术治疗,微创组采用Quadrant通道下腰椎微创融合术治疗。比较两组患者手术指标、并发症发生率、疼痛程度、腰椎功能。结果:微创组术中出血量、术后引流量少于常规组,手术切口小于常规组,差异有统计学意义(P<0.05);两组手术时间无明显差异(P>0.05)。微创组并发症总发生率低于常规组,差异有统计学意义(P<0.05)。术前,两组视觉疼痛模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);术后3 d、7 d、1个月,两组VAS评分均下降,且微创组低于常规组(P<0.05)。术前,两组Oswertry功能障碍指数问卷表(ODI)评分比较,差异无统计学意义(P>0.05);术后1个月、2个月、3个月,两组ODI评分均下降,且微创组低于常规组(P<0.05)。结论:Quadrant通道下腰椎微创融合术治疗腰椎间盘突出症的临床效果良好,其手术切口小,能够减少术中出血量和术后引流量,减少术后并发症的发生,减轻疼痛程度,改善腰椎功能。Objective:To investigate the clinical effect of minimally invasive lumbar fusion under Quadrant channel for lumbar intervertebral disc herniation.Methods:Seventy-four patients with lumbar intervertebral disc herniation admitted to the Dongfang Hospital of Beijing University of Chinese Medicine from May 2019 to May 2020 were selected as the study subjects,and were randomly divided into two groups,each with thirty-seven cases.The conventional group was treated with open lumbar fusion,and the minimally invasive group was treated with minimally invasive lumbar fusion under Quadrant channel.The surgical index,complication rate,pain level,and lumbar spine function of the two groups were compared.Results:The intraoperative bleeding and postoperative drainage in the minimally invasive group were less than that in the conventional group,and the surgical incision was smaller than that in the conventional group,the difference was statistically significant(P<0.05);there was no significant difference in the surgical time between the two groups(P>0.05);and the total incidence of complications in the minimally invasive group was lower than that in the conventional group,the difference was statistically significant(P<0.05);preoperatively,the visual pain analog scale(VAS)scores of the two groups were compared,and the difference was not statistically significant(P>0.05);3 d,7 d,and 1 month after surgery,the VAS scores of the two groups decreased,and the minimally invasive group was lower than that of the conventional group(P<0.05);preoperatively,the scores of the Oswertry dysfunction index questionnaire(ODI)scores of the two groups were compared,and the difference was not statistically significant(P>0.05);at 1,2,and 3 months postoperatively,ODI scores decreased in both groups,and were lower in the minimally invasive group than in the conventional group(P<0.05).Conclusion:Minimally invasive lumbar spine fusion under Quadrant channel has good clinical effect in the treatment of lumbar disc herniation,and its small surgical incision

关 键 词：腰椎微创融合术 QUADRANT通道 腰椎间盘突出症 Oswertry功能障碍指数 

分 类 号：R681.57[医药卫生—骨科学]