Quadrant通道下微创MIS-TLIT与Open-TLIF治疗单节段峡部裂性腰椎滑脱症患者的效果比较  

Comparison of effects of MIS-TLIT under Quadrant channel and Open-TLIF in treatment of patients with single-segment isthmic spondylolisthesis

作　　者：甘雨 舒楠 王俊鹏 GAN Yu;SHU Nan;WANG Junpeng(Department of Spinal Minimally Invasive Surgery of Anyang General Hospital,Anyang 455000 Henan,China)

机构地区：[1]安钢总医院脊柱微创科,河南安阳455000

出　　处：《中国民康医学》2025年第8期150-153,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较Quadrant通道下微创经椎间孔腰椎椎体间融合术(MIS-TLIT)与开放经椎间孔椎体间融合术(Open-TLIF)治疗单节段峡部裂性腰椎滑脱症患者的效果。方法:回顾性分析2022年5月至2023年12月该院收治的100例单节段峡部裂性腰椎滑脱症患者的临床资料,按照手术方法不同将其分成研究组与对照组各50例。对照组采用Open-TLIF术治疗,研究组采用Quadrant通道下MIS-TLIT治疗。比较两组围手术期指标(手术时间、术中出血量、术后引流量、首次下床时间、住院时间)水平,手术前后疼痛程度[视觉模拟评分法(VAS)]、腰椎功能[Oswestry功能障碍指数(ODI)]评分、生命质量[健康调查简表(SF-36)]评分,以及并发症发生率。结果:研究组手术时间长于对照组,术中出血量和术后引流量均少于对照组,首次下床时间和住院时间均短于对照组,差异有统计学意义(P<0.05);术后1周、1个月、3个月,两组VAS评分均低于术前,且研究组低于对照组,差异有统计学意义(P<0.05);术后1周、1个月、3个月,两组ODI评分均低于术前,但组间比较,差异均无统计学意义(P>0.05);术后3个月,两组生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康等SF-36评分均高于术前,且研究组高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:Quadrant通道下MIS-TLIF治疗单节段峡部裂性腰椎滑脱症患者可提高生命质量评分,减少术中出血量和术后引流量,缩短首次下床时间和住院时间,以及降低疼痛程度,效果优于Open-TLIF治疗,但需延长手术时间。Objective:To compare effects of minimally invasive transforaminal lumbar interbody fusion(MIS-TLIT)and open transforaminal lumbar interbody fusion(Open-TLIF)in treatment of single-segment isthmic spondylolisthesis.Methods:The clinical data of 100 patients with single-segment isthmic spondylolisthesis admitted to this hospital from May 2022 to December 2023 were retrospectively analyzed.According to different surgical methods,they were divided into study group and control group,50 cases in each group.The control group was treated with Open-TLIF,while the study group was treated with MIS-TLIT under Quadrant channel.The perioperative indexes(operation time,intraoperative blood loss,postoperative drainage volume,first out-of-bed time,hospitalization time)levels,the pain degrees[visual analogue scale(VAS)],the lumbar function[Oswestry dysfunction index(ODI)]scores,the quality of life[the MOS 36-item short form health survey(SF-36)]scores before and after the surgery,and the incidence of complications were compared between the two groups.Results:The operation time of the study group was longer than that of the control group,the intraoperative blood loss and the postoperative drainage volume were less than those of the control group,the first out-of-bed time and the hospitalization time were shorter than those of the control group,and the differences were statistically significant(P<0.05).At 1 week,1 month and 3 months after the surgery,the VAS scores of the two groups were lower than those before the surgery,those of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).At 1 week,1 month and 3 months after the surgery,the ODI scores of the two groups were lower than those before the surgery,but there were no significant differences between the two groups(P>0.05).At 3 months after the surgery,the SF-36 scores of physiological function,physiological role,physical pain,general health status,vitality,social function,emotional function and mental health in the

关 键 词：QUADRANT通道 微创经椎间孔腰椎椎体间融合术 开放经椎间孔椎体间融合术 单节段峡部裂性腰椎滑脱症 疼痛程度 腰椎功能 生命质量 

分 类 号：R681.5[医药卫生—骨科学]