广西医学2025，Vol.47Issue(2)：198-206,9.DOI:10.11675/j.issn.0253-4304.2025.02.07
大通道下Endo-PLIF治疗Ⅰ～Ⅱ度腰椎滑脱症患者的临床疗效
Clinical efficacy of Endo-PLIF via large channel for the treatment of patients with lumbar spondylolisthesis in degree Ⅰ-Ⅱ
摘要
Abstract
Objective To explore the effectiveness and safeness of endoscopic posterior lumbar interbody fusion(Endo-PLIF)via large channel for the treatment of patients with lumbar spondylolisthesis in degree Ⅰ-Ⅱ.Methods The surgical data of 46 patients with lumbar spondylolisthesis undergoing Endo-PLIF via large channel were retrospectively analyzed.The operation duration,intraoperative bleeding volume,postoperative length of hospital stay,duration of antibiotic use,the occurrence status of operative-associated complications were recorded.The pre-and postoperative Visual Analogue Scale(VAS)score,Oswestry disability index(ODI),and lumbar intervertebral space height and lumbar lordosis angle of operative segments were compared.Results All 46 patients successfully completed the operation.Patients were followed up for 12.0 to 19.0(14.2±3.2)months.The operation duration of patients was 231.72(170.50,290.00)minutes,intraoperative bleeding volume was 80.00(50.00,100.00)mL,postoperative length of hospital stay was 3.00 to 11.00(5.26±2.16)days,and duration of antibiotic use was 1.00 to 7.00(2.98±1.42)days.One week and 1 year after operation,the VAS scores and ODI for low back and lower limbs were decreased as compared with before operation.One week and 1 year after operation,lumbar intervertebral space height was increased as compared with before operation;furthermore,lumbar lordosis angle of operative segments was enlarged as compared with before operation one year after operation(P<0.05).No intraoperative or postoperative blood transfusion,infection,fusion failure,dural tear and other complications occurred in all patients.One patient had unilateral internal fixation loosening after operation,and 1 patient was found to have inadequate drainage after operation,and the symptoms were significantly relieved after symptomatic treatment.Conclusion The clinical efficacy of Endo-PLIF via large channel for the treatment of patients with lumbar spondylolisthesis in degree Ⅰ-Ⅱ is satisfactory,with the advantages of less trauma and fast recovery,etc.关键词
腰椎滑脱症/脊柱内窥镜/大通道内镜/腰椎融合术/微创/疗效Key words
Lumbar spondylolisthesis/Spinal endoscope/Large channel endoscope/Lumbar interbody fusion/Minimally invasive/Efficacy分类
临床医学引用本文复制引用
苏国义,詹吉恒,罗俊华,葛志林,李永津,林涌鹏,陈博来..大通道下Endo-PLIF治疗Ⅰ～Ⅱ度腰椎滑脱症患者的临床疗效[J].广西医学,2025,47(2):198-206,9.基金项目
国家自然科学基金(82104895、81804118) （82104895、81804118）
广州市科技计划项目(202201010974) （202201010974）
广东省中医院院内专项(YN2023MS46) （YN2023MS46）
中国博士后科学基金面上项目(2021M700905) （2021M700905）
