摘要
目的:采用回顾性分析比较微创经椎间孔腰椎椎体间融合术(MIS-TLIF)与后路腰椎椎体间融合术(PLIF)治疗单节段腰椎退变性疾病的疗效。方法:选取2018年3月至2020年3月在大理市第一人民医院治疗单节段腰椎退变性疾病患者60例,将采用MIS-TLIF手术方式的患者归为实验组,采用PLIF手术方式的患者归为对照组,每组30例,记录手术时间、术中出血量、术中透视时间、术后引流量、下床时间和住院时间等指标。所有患者定期随访,并根据视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分评估手术疗效。结果:两组患者在性别、年龄、临床诊断、病变位置及术前VAS、ODI评分等方面差异无统计学意义(P>0.05);比较两组手术时间和术中透视时间,差异无统计学意义(P>0.05);实验组术中出血量、术后引流量、下床时间、住院时间均明显少于对照组,差异有统计学意义(P<0.05);实验组出院前、术后3个月VAS、ODI评分优于对照组,差异有统计学意义(P<0.05)。结论:MIS-TLIF与PLIF相比,具有术中出血少、创伤小、术后康复快等优势。
Objective:To retrospectively analyze and compare the efficacy of minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF)and posterior lumbar interbody fusion(PLIF)in the treatment of single-segment lumbar degenerative diseases.Methods:A total of 60 patients with single-segment lumbar degenerative diseases who were treated in The First People’s Hospital of Dali City from March 2018 to March 2020 were selected.The patients who underwent MIS-TLIF surgery were included in the experimental group while the patients who underwent PLIF surgery were classified as the control group,thus 30 cases in each group.And the operation time,intraoperative blood loss,intraoperative fluoroscopy time,postoperative drainage volume,time to get out of bed,and hospitalization time were recorded.All patients were followed up regularly,and the surgical efficacy was evaluated according to the visual analogue scale(VAS)and Oswestry disability index(ODI).Results:There were no significant differences in gender,age,clinical diagnosis,lesion location,and preoperative VAS and ODI scores between the two groups(P>0.05).Comparing the two groups,there was no significant difference in operation time and intraoperative fluoroscopy time between the two groups(P>0.05).The amount of intraoperative blood loss,postoperative drainage,time to get out of bed,and hospitalization time in the experimental group were significantly less than those in the control group,and the differences were statistically significant(P<0.05).The VAS and ODI scores of the experimental group before discharge and 3 months after the operation were better than those of the control group,which difference was statistically significant(P<0.05).Conclusion:Compared with PLIF,MIS-TLIF has the advantages of less intraoperative blood loss,less trauma,and faster postoperative recovery.
作者
许三雄
张继源
马雪莹
魏国松
李林
Xu Sanxiong;Zhang Jiyuan;Ma Xueying;Wei Guosong;Li Lin(Department of Orthopedics,The First People's Hospital of Dali City,Dali,Yunnan 671000,China)
出处
《大理大学学报》
2022年第4期47-51,共5页
Journal of Dali University
关键词
微创经椎间孔腰椎椎体间融合术
后路腰椎椎体间融合术
单节段腰椎退变性疾病
minimally invasive transforaminal lumbar interbody fusion
posterior lumbar interbody fusion
single-segment lumbar degenerative diseases
作者简介
第一作者:许三雄,主治医师,主要从事脊柱外科及显微外科研究。
