脊柱内镜下腰椎间融合技术治疗单节段腰椎退行性疾病的临床效果OA
Clinical Effect of Spinal Endoscopic Lumbar Interbody Fusion Technology in the Treatment of Single Segment Lumbar Degenerative Diseases
目的:分析脊柱内镜下腰椎间融合技术治疗单节段腰椎退行性疾病的临床效果.方法:选择 2020 年 2 月—2022 年 2 月淮安八十二医院收治的 90 例单节段腰椎退行性疾病患者作为研究对象,根据手术方式不同将患者分为对照组与观察组,各 45 例.对照组采用传统后路腰椎融合术治疗,观察组采用脊柱内镜下腰椎间融合技术治疗,比较两组治疗效果、手术情况、炎症介质水平及腰椎功能变化情况等.结果:观察组治疗总有效率为 95.56%,高于对照组的 75.56%,且观察组切口长度、手术时间及住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05).术后 24 h,两组白细胞介素-10(IL-10)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平较治疗前升高,但观察组低于对照组,差异有统计学意义(P<0.05).术后 6 个月,两组日本骨科协会评估治疗分数(JOA)评分较治疗前升高,且观察组高于对照组,两组Oswestry功能障碍指数(ODI)评分、视觉模拟评分法(VAS)评分较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05).结论:脊柱内镜下腰椎间融合技术治疗单节段腰椎退行性疾病具有创伤小、术中出血量少的优势,能有效降低炎症因子的刺激作用,促进腰椎功能的恢复,缩短住院时间,促进患者术后尽快康复,优于传统后路开放技术治疗.
Objective:To analyze the clinical effect of spinal endoscopic lumbar interbody fusion technology in the treatment of single segment lumbar degenerative diseases.Method:A total of 90 patients with single segment lumbar degenerative diseases who admitted to Huai'an No.82 Hospital from February 2020 to February 2022 were included as the study subjects,the patients were divided into the control group and the observation group according to different surgical methods,with 45 cases in each group.The control group was treated with traditional posterior lumbar fusion surgery,while the observation group was treated with spinal endoscopic lumbar interbody fusion technology.The treatment effect,surgical conditions,levels of inflammatory mediators and changes in lumbar function of two groups were compared.Result:The total effective rate in the observation group was 95.56%,which was higher than 75.56%in the control group,the incision length,operation time and hospitalization time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).At 24 h after operation,the levels of interleukin-10(IL-10),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in two groups were higher than those before treatment,but those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 6 months after operation,the Japanese Orthopaedic Association score(JOA)scores of two groups increased compared to before treatment,and that in the observation group was higher than that in the control group,the Oswestry dysfunction index(ODI)scores and visual analogue scale(VAS)scores of two groups decreased compared with those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Spinal endoscopic lumbar interbody fusion technology in the treatment of single segment lumbar degenerative diseases has the advantage of slight trauma,less intraoperative blood loss,it can effectively reduce the stimulation of inflammation factors,improve lumbar function recovery,shorter hospital stay,promote patients postoperative rehabilitation as soon as possible,superior to the traditional posterior open technology.
管礼安;成业东
淮安八十二医院 江苏 淮安 223001
单节段腰椎退行性疾病脊柱内镜下腰椎间融合技术传统后路腰椎融合术
Single segment lumbar degenerative diseasesSpinal endoscopic lumbar interbody fusion technologyTraditional posterior lumbar fusion surgery
《中外医学研究》 2024 (008)
133-137 / 5
评论