单侧双通道内镜下融合术治疗单节段腰椎椎管狭窄症的短期临床疗效  

Short Term Clinical Efficacy of Unilateral Dual Channel Endoscopic Fusion Surgery for Single Segment Lumbar Spinal Stenosis

作　　者：向鹏 XIANG Peng(Jiangsu Sheyang County People's Hospital,Sheyang,Jiangsu 224300)

机构地区：[1]江苏省射阳县人民医院,江苏射阳224300

出　　处：《智慧健康》2025年第3期42-45,共4页Smart Healthcare

摘　　要：目的探析单节段腰椎椎管狭窄症治疗中实施单侧双通道内镜下融合术的短期临床疗效。方法选取2022年7月—2024年7月本院收治的单节段腰椎椎管狭窄症患者30例作为研究对象,并按照治疗方法的不同将其分为对照组和观察组,每组15例。其中,对照组实施微创经椎间孔腰椎融合术疗法,观察组实施单侧双通道内镜下融合术疗法。本研究最终确定的观察指标包括手术指标、疼痛程度、功能障碍指数以及并发症发生率。通过对各组疗法进行对比,进而评价并分析其应用效果。结果①治疗后,观察组手术指标皆优于对照组(P<0.05);②治疗前,两组疼痛程度、功能障碍指数对比差异无统计学意义(P>0.05);治疗后,观察组疼痛程度、功能障碍指数皆优于对照组(P<0.05);③治疗后,观察组并发症发生率低于对照组(P<0.05)。结论单节段腰椎椎管狭窄症患者施以单侧双通道内镜下融合术治疗,可减小机体创伤,降低相关并发症发生率,加快术后恢复速度,短期临床疗效显著,值得推行。Objective Through inter group comparative experiments,observe and explore the shortterm clinical efficacy of unilateral dual channel endoscopic fusion surgery in the treatment of single segment lumbar spinal stenosis.Methods The selected starting and ending intervals for the experiment were from 2022.07 to 2024.07.Within this interval,30 patients with single segment lumbar spinal stenosis admitted to our hospital were selected as the experimental subjects.Based on their treatment methods,15 patients who underwent minimally invasive transforaminal lumbar fusion surgery were selected as the control group,and another 15 patients who underwent unilateral dual channel endoscopic fusion surgery were selected as the observation group.The final observation indicators for this experiment were surgical indicators,pain level,functional impairment index,and incidence of complications.After comparison,the effectiveness of different therapies in each group was evaluated and analyzed.Results①After treatment,It shows that the surgical index of the observation group is better than that of the control group(P<0.05);②Before treatment,there was no significant difference in pain level and functional impairment index between the two groups(P>0.05);After treatment,Showed that the observation group was better than the control group(P<0.05);③After treatment,Showed that the complication rate was lower than the control group(P<0.05).Conclusion Unilateral dual channel endoscopic fusion surgery for patients with single segment lumbar spinal stenosis can reduce body trauma,lower the incidence of related complications,accelerate postoperative recovery,and achieve significant short-term clinical efficacy,which is worth promoting.

关 键 词：单侧双通道内镜下融合术 微创经椎间孔腰椎融合术 单节段腰椎椎管狭窄症 

分 类 号：R687.3[医药卫生—骨科学]