生物骨科材料与临床研究2024，Vol.21Issue(2)：32-37,6.DOI:10.3969/j.issn.1672-5972.2024.02.007
单侧双通道内镜下(UBE-TLIF)与微创经椎间孔腰椎融合术(MIS-TLIF)治疗退变性腰椎椎管狭窄症的疗效比较
摘要
Abstract
Objective To compare UBE-TLIF with MIS-TLIF for single-segment degenerative lumbar spinal stenosis.Methods A retrospective analysis was performed of the clinical data of 68 patients with single-segment degenerative lumbar spinal stenosis in this treatment group who met the inclusion criteria from January 2021 to December 2021,including 27 patients in the UBE-TLIF group and 41 patients in the MIS-TLIF group.Surgery-related indexes(operation time,intraoperative bleeding,postoperative drainage,postoperative hospitalization days,complication rate,etc.),laboratory findings(whole blood C-reactive protein,serum phosphocreatine kinase),and evaluation of clinical efficacy(visual analogue scale for low back pain and lower extremity pain,Oswestry dysfunction index,modified MacNab standard for evaluating the rate of excellence,Brantigan criteria for evaluation of intervertebral fusion rate,etc.)were compared between the two groups.Results All 68 cases were followed up for 12 to 20 months.Compared with the MIS-TLIF group,patients in the UBE-TLIF group had longer operation time and hospital stay,and less intraoperative blood loss and postoperative drainage(P<0.05).Laboratory examination:There was no statistically significant difference in laboratory examination between the two groups before operation(P>0.05).CRP was lower in the UBE-TLIF group than in the MIS-TLIF group at 3 d after operation(P<0.05).CK was lower in the UBE-TLIF group than in the MIS-TLIF group at 1 and 3 d after operation(P<0.05).Clinical efficacy evaluation:There was no statistical difference in the patient's VAS of low back pain and lower extremity pain and ODI between the two groups before surgery(P>0.05),and the above scores decreased significantly at all time points after surgery compared with those before surgery(P<0.05);intergroup comparisons revealed no statistically significant differences in the VAS for low back pain and lower extremity pain at 3 d,1 month,6 months,and 12 months postoperatively,the ODI at 3 and 12 months postoperatively,the excellent rate at the final follow-up,and the rate of intervertebral fusion(P>0.05).Complications:No complications occurred in the UBE-TLIF group,and 2 cases of complications occurred in the MIS-TLIF group,including 1 case of postoperative incision infection and 1 case of postoperative lower limb numbness,and there was no statistically significant difference in the rate of complications between the two groups(P>0.05).Conclusion UBE-TLIF achieves similar postoperative low back pain scores,leg pain scores,and dysfunction indexes as MIS-TLIF,with less CK release from muscle damage,less tissue bleeding,and faster postoperative recovery than MIS-TLIF.关键词
单侧双通道内镜/微创/腰椎间融合/单节段腰椎椎管狭窄Key words
Unilateral biportal endoscopy/Minimally invasive/Lumbar interbody fusion/Single-segment lumbar spinal stenosis分类
医药卫生引用本文复制引用
周毅,陈日高,于开凡,廖子康..单侧双通道内镜下(UBE-TLIF)与微创经椎间孔腰椎融合术(MIS-TLIF)治疗退变性腰椎椎管狭窄症的疗效比较[J].生物骨科材料与临床研究,2024,21(2):32-37,6.基金项目
四川省自然科学基金项目(2023NSFSC1798) （2023NSFSC1798）
成都市技术创新研发项目(2022-YF05-02064-SN （）
2022-YF05-01900-SN) （）
