经椎间孔椎间融合术联合单侧椎弓根螺钉内固定术治疗腰椎退行性疾病患者的效果观察  

Effect of Transforaminal Interbody Fusion Combined with Unilateral Pedicle Screw Fixation in the Treatment of Lumbar Degenerative Diseases

作　　者：李红见 LI Hongjian(Department of Spinal Surgery,Lanling County People's Hospital,Lanling 276000,China)

机构地区：[1]兰陵县人民医院脊柱外科,山东兰陵276000

出　　处：《反射疗法与康复医学》2024年第20期153-156,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨单侧椎弓根螺钉内固定术联合经椎间孔椎间融合术治疗腰椎退行性疾病的临床效果。方法选取2022年1月—2024年1月兰陵县人民医院收治的84例腰椎退行性疾病患者为研究对象,按随机数字表法将其分为对照组和观察组,每组42例。对照组采用双侧椎弓根螺钉内固定术联合经椎间孔椎间融合术治疗,观察组采用单侧椎弓根螺钉内固定术联合经椎间孔椎间融合术治疗。对比两组的围术期指标、腰椎功能、疼痛程度、功能障碍情况、日常生活能力、生活质量、并发症发生情况。结果观察组手术时间短于对照组,术中出血量、术后引流量均少于对照组,组间差异有统计学意义(P<0.05);术后3个月,观察组疼痛视觉模拟评分低于对照组,差异有统计学意义(P<0.05);两组世界卫生组织生活质量测定简表中生理、心理、社会关系、环境领域评分对比,组间差异无统计学意义(P>0.05);观察组并发症发生率为4.76%,低于对照组的19.05%,差异有统计学意义(P<0.05);术后3个月,两组Oswestry功能障碍指数、Barthel指数评定量表评分、日本骨科协会评估治疗分数中主观症状、临床体征、日常活动受限评分及总分对比,组间差异无统计学意义(P>0.05)。结论经椎间孔椎间融合术联合单侧椎弓根螺钉内固定术治疗腰椎退行性疾病可缩短患者手术时间,减轻患者疼痛程度,安全可靠,可获得满意的腰椎功能恢复效果。Objective To investigate the clinical effect of unilateral pedicle screw fixation combined with transforaminal interbody fusion in the treatment of lumbar degenerative diseases.Methods A total of 84 patients with lumbar degenerative diseases admitted to Lanling County People's Hospital from January 2022 to January 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group was treated with bilateral pedicle screw internal fixation combined with transforaminal interbody fusion,and the observation group was treated with unilateral pedicle screw fixation combined with transforaminal interbody fusion.Perioperative indexes,lumbar function,pain degree,dysfunction,ability of daily living,quality of life,and complications were compared.Results The operation time in the observation group was shorter than that in the control group,and the intraoperative blood loss and postoperative drainage volume were less than those in the control group,and the differences between the groups were statistically significant(P<0.05);three months after surgery,the pain Visual Analogue Scale score in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);there were no statistically significant differences in the physiological,psychological,social relations and environmental field scores in the World Health Organization Quality of Life Scale-Brief Form Questionnaire between the two groups(P>0.05).The incidence of complications in the observation group was 4.76%,which was lower than 19.05%in the control group,and the difference was statistically significant(P<0.05);three months after surgery,there were no statistically significant differences in Oswestry Disability Index,Barthel Index rating Scale score,subjective symptoms,clinical signs,daily activity restriction score and total score of the Japanese Orthopaedie Association between the two groups(P>0.05)

关 键 词：腰椎退行性疾病 单侧椎弓根螺钉内固定术 经椎间孔椎间融合术 腰椎功能 

分 类 号：R681.5[医药卫生—骨科学]