中国医学创新2025，Vol.22Issue(4)：31-35,5.DOI:10.3969/j.issn.1674-4985.2025.04.007
邻近节段动态稳定系统联合显微镜下MIS-TLIF在腰椎退行性疾病中的应用效果
Effect of Adjacent Segment Dynamic Stabilization System Combined with Microscopic MIS-TLIF in Lumbar Degenerative Diseases
摘要
Abstract
Objective:To investigate the clinical application value of adjacent segment dynamic stabilization system combined with microscopic minimal invasive surgery-transforaminal lumbar interbody fusion(MIS-TLIF)in the treatment of lumbar degenerative diseases.Method:The clinical data of 80 patients with lumbar degenerative diseases treated in Dongguan Hospital of Traditional Chinese Medicine from January 2018 to December 2022 were retrospectively analyzed.They were divided into study group(45 cases)and control group(35 cases)according to different treatment methods.Perioperative indexes of the two groups were compared.The Japanese orthopaedic association(JOA)score,Oswestry disability index,vertebral space height,clinical efficacy,vertebral range of motion and visual analogue scale(VAS)scores were compared between the two groups before surgery,3 months after surgery,and at the last follow-up(1 year after surgery).Result:The operation time of the study group was shorter than that of the control group,the postoperative drainage volume and intraoperative blood loss of the study group were lower than those of the control group,and the total effective rate(93.33%)was higher than that of the control group(71.43%),with statistical significance(P<0.05).At 3 months and the last follow-up,compared with the control group,the vertebral range of motion,Oswestry disability index and VAS scores of the study group were lower,and the vertebral space height and JOA scores were higher,with statistical significance(P<0.05).Conclusion:The effect of adjacent segment dynamic stabilization system combined with microscopic MIS-TLIF on the treatment of lumbar degenerative diseases is better than that of single treatment,with short operation time,low intraoperative blood loss,less postoperative drainage,and less postoperative trauma,which is conducive to relieving patients'lumbar pain,improving spinal function,and helping patients to return to normal as soon as possible.关键词
邻近节段动态稳定系统/显微镜下微创经椎间孔腰椎间融合术/腰椎退行性疾病/椎间隙高度/椎体活动度Key words
Adjacent segment dynamic stabilization system/Microscopic minimally invasive surgery-transforaminal lumbar interbody fusion/Lumbar degenerative disease/Vertebral space height/Vertebral range of motion引用本文复制引用
罗林峰,张斌山,庄沙斌,尹超逸..邻近节段动态稳定系统联合显微镜下MIS-TLIF在腰椎退行性疾病中的应用效果[J].中国医学创新,2025,22(4):31-35,5.基金项目
2023年东莞市社会发展科技面上项目(20231800903762) （20231800903762）
2023年东莞市名中医药专家传承工作室(庄沙斌)(东卫函[2023]216号) （庄沙斌）
