摘要
目的:探讨用单侧微创经椎间孔椎体间融合术治疗退变性腰椎管狭窄症对患者疼痛程度及腰椎间前凸角的影响。方法:选取2018年1月至2020年12月期间绵阳市中心医院收治的84例退变性腰椎管狭窄症患者作为研究对象。将这些患者分为观察组(n=42)和对照组(n=42)。对对照组患者进行传统后路开放减压术,对观察组患者进行单侧微创经椎间孔椎体间融合术。然后比较两组患者手术前后视觉模拟评分法(VAS)的评分及腰椎间前凸角。结果:在手术后3个月、6个月,观察组患者VAS的评分均低于对照组患者,P<0.05;其腰椎间前凸角均大于对照组患者,P<0.05。结论:用单侧微创经椎间孔椎体间融合术治疗退变性腰椎管狭窄症的效果较为理想,可有效地减轻此病患者的疼痛感,增大其腰椎间前凸角。
Objective:To investigate the effect of unilateral minimally invasive transforaminal interbody fusion for the treatment of degenerative lumbar spinal stenosis on the pain degree and lumbar lordosis Angle.Methods:A total of 84 patients with degenerative lumbar spinal stenosis admitted to Mianyang Central Hospital from January 2018 to December 2020 were selected as the study subjects.These patients were divided into observation group(n=42)and control group(n=42).The control group was treated with traditional posterior open decompression,and the observation group was treated with unilateral minimally invasive transforaminal interbody fusion.Visual analogue scale(VAS)score and lumbar lordosis Angle before and after operation were compared between 2 groups.Results:At 3 and 6 months after operation,VAS score of observation group was lower than control group,P<0.05;Interlumbar lordosis Angle was larger than control group,P<0.05.Conclusion:Unilateral minimally invasive transforaminal interbody fusion is effective in the treatment of degenerative lumbar spinal stenosis,which can effectively relieve the pain and increase the lumbar lordosis Angle.
作者
郭福蝶
GUO Fudie(Mianyang Central Hospital,Mianyang 621000,Sichuan,China)
关键词
单侧微创经椎间孔椎体间融合术
退变性腰椎管狭窄症
疼痛程度
腰椎间前凸角
unilateral minimally invasive transforaminal interbody fusion
Degenerative lumbar spinal stenosis
Degree of pain
Interlumbar lordosis
