摘要
目的探讨微创内镜下腰椎间融合术治疗单节段腰椎退行性病变的临床效果。方法选择2018年8月至2021年8月阳江市中医医院收治的单节段腰椎退行性病变患者60例,采用随机数字表法分为对照组与观察组,每组各30例,对照组采用传统入路腰椎间融合术,观察组采用微创内镜下腰椎间融合术。术后比较两组手术相关指标,随访2个月,比较两组视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分及并发症发生情况。结果观察组手术时间为(3.17±0.38)min,长于对照组的(2.50±0.44)min,观察组术中出血量为(355.26±20.15)ml、术后2 h引流量为(46.73±8.44)ml,低于对照组的(563.27±17.48)、(120.80±44.78)ml,差异有统计学意义(P<0.05);术前两组VAS评分、ODI评分比较,差异无统计学意义(P>0.05),术后观察组VAS评分、ODI评分为(1.95±0.35)、(19.64±5.12)分,低于对照组的(2.63±0.49)、(25.33±4.51)分,差异有统计学意义(P<0.05);观察组术后并发症发生率为3.33%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论微创内镜下腰椎间融合术治疗单节段腰椎退行性病变虽会持续较长手术时间,但可降低术中出血量、术后2 h引流量,减轻患者术后疼痛评分,改善腰椎功能,减少术后并发症发生率。
Objective To explore the clinical efficacy of minimally invasive endoscopic lumbar interbody fusion in the treatment of single-segment lumbar degenerative disease.Methods A total of 60 patients with single-segment lumbar degenerative disease who were admitted to Yangjiang Traditional Chinese Medicine Hospital from August 2018 to August 2021 were selected and divided into control group and observation group by random number table method,with 30 cases in each group.The control group underwent lumbar interbody fusion via the traditional approach,while the observation group underwent minimally invasive endoscopic lumbar interbody fusion.After surgery,the two groups were compared,followed up for 2 months,visual analogue scale(VAS)score,Oswestry dysfunction index(ODI)score,and complications were compared between the two groups.Results The operating time in the observation group([3.17±0.38]min)was longer than that in the control group([2.50±0.44]min),and the intraoperative bleeding volume([355.26±20.15]ml)and 2-h postoperative drainage([46.73±8.44]ml)in the observation group were lower than those in the control group([563.27±17.48]ml)and[120.80±44.78]ml,respectively,with statistically significant differences(P<0.05).There were no significant differences in VAS score and ODI score between the two groups before operation(P>0.05).After operation,the VAS score and ODI score of the observation group were(1.95±0.35)and(19.64±5.12)points lower than those of the control group(2.63±0.49)points,(25.33±4.51)points,with statistically significant differences(P<0.05);The incidence of postoperative complications in the observation group was 3.33%,which was lower than 20.00% in the control group,with statistically significant difference(P<0.05).Conclusion Although minimally invasive endoscopic lumbar interbody fusion for single-segment lumbar degenerative disease may take longer operating time,it can reduce intraoperative bleeding volume and 2-h postoperative drainage,lower postoperative VAS scores,improve lumbar spine function of patients,and reduce the incidence of postoperative complications.
作者
罗立典
蒋亮
李栋鹏
LUO Lidian;JIANG Liang;LI Dongpeng(Department of OrthopedicsⅡ,Yangjiang Hospital of Traditional Chinese Medicine,Guangdong,Yangjiang 529500,China)
出处
《中国医药科学》
2022年第6期158-160,164,共4页
China Medicine And Pharmacy
基金
广东省阳江市医疗卫生类科技计划项目(SF2021068)。
