经关节突入路单侧双通道内镜下腰椎椎间融合术治疗退行性腰椎滑脱症合并腰椎管狭窄症  

Unilateral Dual Channel Endoscopic Lumbar Interbody Fusion Through Joint Approach for the Treatment of Degenerative Lumbar Spondylolisthesis Combined with Lumbar Spinal Stenosis

作　　者：高永春 陈斌 李积然 潘启东 GAO Yongchun;CHEN Bin;LI Jiran;PAN Qidong(Department of Spinal Surgery,Gejiu People's Hospital,Gejiu 661000,Yunnan,China)

机构地区：[1]个旧市人民医院脊柱外科,云南个旧661000

出　　处：《系统医学》2025年第5期150-153,共4页Systems Medicine

摘　　要：目的探讨退行性腰椎滑脱症合并腰椎管狭窄症(degenerative lumbar spondylolisthesis-lumbar spinal stenosis,DLS-LSS)患者进行经关节突入路单侧双通道内镜下腰椎椎间融合术治疗的价值。方法非随机选取个旧市人民医院于2022年1月—2024年1月收治的100例DLS-LSS患者为研究对象。根据治疗方式不同分为两组,各50例。对照组给予椎管减压术治疗,观察组给予经关节突入路单侧双通道内镜下腰椎椎间融合术治疗,比较两组临床疗效、疼痛程度、临床指标。结果观察组总有效率为96.00%(48/50),高于对照组的84.00%(42/50),差异有统计学意义(χ^(2)=4.000,P<0.05)。观察组术后3个月、12个月的视觉模拟评分法(Visual Analogue Scale,VAS)评分低于对照组,差异有统计学意义(P均<0.05)。观察组术后改良日本骨科协会腰痛评分表(Japanese Orthopaedic Association,JOA)评分高于对照组,Oswestry功能障碍指数(Oswestry Disability Index,ODI)评分低于对照组,差异有统计学意义(P均<0.05)。结论DLS-LSS治疗中选择经关节突入路单侧双通道内镜下腰椎椎间融合术可改善腰椎功能及疼痛程度,亦可确保整体疗效。Objective To investigate the value of unilateral double-channel endoscopic lumbar interbody fusion via facet joint approach in the treatment of degenerative lumbar spondylolisthesis-lumbar spinal stenosis(DLS-LSS).Methods 100 patients with DLS-LSS admitted to Gejiu People's Hospital from January 2022 to January 2024 were non-randomly selected as the study subjects.According to different treatment methods,they were divided into two groups,50 cases in each group.The control group was treated with spinal canal decompression,and the observation group was treated with unilateral double-channel endoscopic lumbar interbody fusion through articular process approach.The clinical efficacy,pain degree and clinical indexes of the two groups were compared.Results The total effective rate of the observation group was 96.00%(48/50),which was higher than 84.00%(42/50)of the control group,and the difference was statistically significant(χ^(2)=4.000,P<0.05).The scores of Visual Analogue Scale(VAS)in the observation group were lower than those in the control group at 3 months and 12 months after operation,and the differences were statistically significant(both P<0.05).The postoperative Japanese Orthopaedic Association(JOA)score of the observation group was higher than that of the control group,and the Oswestry Disability Index(ODI)score was lower than that of the control group,and the differences were statistically significant(both P<0.05).Conclusion In the treatment of DLS-LSS,unilateral double-channel endoscopic lumbar interbody fusion through articular process approach can improve lumbar function and pain degree,and ensure the overall curative effect.

关 键 词：腰椎椎间融合术 退行性腰椎滑脱症 腰椎管狭窄症 疼痛程度 

分 类 号：R4[医药卫生—临床医学]