中国临床医学2023，Vol.30Issue(6)：1021-1026,6.DOI:10.12025/j.issn.1008-6358.2023.20231482
微创经椎间孔入路腰椎椎间融合术治疗退行性腰椎管狭窄的短期疗效及对腰椎功能的影响
Short-term efficacy of MIS-TLIF in patients with degenerative lumbar spinal stenosis and its effect on lumbar function
摘要
Abstract
Objective To explore the short-term efficacy of minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF)in the treatment of patients with degenerative lumbar spinal stenosis and its effect on lumbar function.Methods A total of 79 patients with degenerative lumbar spinal stenosis from January 2020 to June 2022 were retrospectively selected and divided into two groups according to different surgical methods.Patients in minimally invasive group(n=41)received MIS-TLIF and patients in open group(n=38)received open transforaminal lumbar interbody fusion(TLIF).The surgical efficacy,surgery-related indicators and imaging indicators were compared between the two groups.The lumbar function was evaluated by Japanese Orthopaedics Association(JOA)score and Oswestry disability index(ODI).The degree of lumbar pain was evaluated by visual analogue scale(VAS).Results Compared with the open group,the time of surgery in the minimally invasive group was longer,the length of incision was shorter,and the intraoperative blood loss and postoperative drainage were less(P＜0.001).There was no significant difference in the excellent and good rate and the effective rate of surgery between the two groups.The JOA scores at 3 months and 6 months after operation in minimally invasive group were higher than those in open group(P＜0.01),and the ODI score at 3 months after operation and the VAS scores at 1 day,3 days and 7 days after operation were lower than those in open group(P＜0.01).Conclusions MIS-TLIF has good short-term clinical efficacy in patients with degenerative lumbar spinal stenosis,which can relieve postoperative pain and contribute to the recovery of lumbar function.关键词
退行性腰椎管狭窄/微创经椎间孔入路腰椎椎间融合术/短期疗效/腰椎功能Key words
degenerative lumbar spinal stenosis/minimally invasive transforaminal lumbar interbody fusion/short-term efficacy/lumbar function分类
医药卫生引用本文复制引用
徐耀,钱志鹏,王雨辰..微创经椎间孔入路腰椎椎间融合术治疗退行性腰椎管狭窄的短期疗效及对腰椎功能的影响[J].中国临床医学,2023,30(6):1021-1026,6.基金项目
江苏省中医药科技发展计划项目(QN202221).Supported by Science and Technology Development Plan of Traditional Chinese Medicine in Jiangsu Province(QN202221). （QN202221）
