单侧双通道内镜下腰椎融合术联合肌电图定量评估腰肌损伤程度在腰椎退行性疾病中的应用研究  

Application of Unilateral Dual Channel Endoscopic Lumbar Fusion Combined with Electromyography Quantitative Evaluation of Lumbar Muscle Injury Severity in Lumbar Degenerative Diseases

作　　者：秦超[1] 文文[1] 李志浩[1] 喻志 刘宏超 Chao Qin;Wen Wen;Zhihao Li;Zhi Yu;Hongchao Liu(Jingzhou Central Hospital,Jingzhou,Hubei 434021;Jianli Traditional Chinese Medicine Hospital,Jingzhou,Hubei 434021)

机构地区：[1]荆州市中心医院,湖北荆州434021 [2]监利市中医院,湖北荆州434021

出　　处：《医学研究前沿》2025年第3期1-3,共3页Frontiers of Medical Research

基　　金：荆州市科技局项目(项目编号:02023HC83)。

摘　　要：目的目的研究和分析腰椎退行疾病患者应用肌电图进行腰肌损伤程度评估与单侧双通道内镜下腰椎融合术的效果。方法方法以100例腰椎退行性疾病患者为研究对象,手术时间为2023年1月~2023年12月,通过随机分配原则将患者分为2组,对照组(n=50)所用术式为微创后路经关节突关节腰椎椎间融合术,研究组(n=50)所用术式为单侧双通道内镜下腰椎融合术,术后应用肌电图定量评估腰肌损伤改善情况,比较两组腰背肌平均振幅及腰背肌平均频率斜率。结果结果术后2周、术后1个月及术后3个月研究组患者腰背肌平均振幅均显著更高,平均频率斜率均更低,两组术后不同时间腰背肌平均振幅及平均频率斜率差异均有统计学意义(P<0.05)。结论结论采用单侧双通道内镜下腰椎融合术治疗腰椎退行性疾病能够取得理想的治疗效果,肌电图检查有助于临床对患者腰肌损伤程度进行准确评估,可对手术疗效及患者预后改善情况进行准确判断。Objective To study and analyze the application of electromyography in evaluating the degree of lumbar muscle injury and the effectiveness of unilateral dual channel endoscopic lumbar fusion surgery in patients with lumbar degenerative diseases.Method A total of 100 patients with lumbar degenerative diseases were selected as the study participants.The surgery period was from January 2023 to December 2023.The patients were randomly divided into two groups based on the principle of random allocation.The control group(n=50)underwent minimally invasive posterior facet joint lumbar interbody fusion surgery,while the study group(n=50)underwent unilateral dual channel endoscopic lumbar fusion surgery.After surgery,electromyography was used to quantitatively evaluate the improvement of lumbar muscle injury.The average amplitude and frequency slope of lumbar muscles were compared between the two groups.Result At 2 weeks,1 month,and 3 months after surgery,the average amplitude of the lumbar muscles in the study group was significantly higher,and the average frequency slope was lower.The differences in the average amplitude and average frequency slope of the lumbar muscles between the two groups at different times after surgery were statistically significant(P<0.05).Conclusion The use of unilateral dual channel endoscopic lumbar fusion for the treatment of lumbar degenerative diseases can achieve ideal therapeutic effects.Electromyography examination helps to accurately evaluate the degree of lumbar muscle injury in patients,and can accurately judge the surgical efficacy and patient prognosis improvement.

关 键 词：单侧双通道内镜下腰椎融合术 肌电图 腰肌损伤程度 腰椎退行性疾病 

分 类 号：R681.5[医药卫生—骨科学]