临床骨科杂志2025，Vol.28Issue(5)：634-638,5.DOI:10.3969/j.issn.1008-0287.2025.05.007
显微镜辅助固定通道下微创经椎间孔腰椎间融合术治疗腰椎退行性疾病
Minimally invasive transforaminal lumbar interbody fusion under microscope-assisted fixed channel in the treatment of lumbar degenerative diseases
摘要
Abstract
Objective To explore the efficacy of minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF)under microscope-assisted fixation channel in the treatment of lumbar degenerative diseases.Methods The 48 patients with lumbar degenerative diseases were divided into the observation group(The 24 cases were treated with MIS-TLIF under microscope-assisted fixation channel)and the control group(The 24 cases were treated with MIS-TLIF under Quadrant channel)according to different surgical methods.The perioperative observation indicators,pain relief degree and lumbar function recovery were compared between the two groups.Results All patients were fol-lowed up for 12～18 months.The intraoperative blood loss,postoperative drainage volume in the observation group were better than those in the control group(P＜0.05).At 1 week and 3 months after surgery,the VAS of lower back pain in the observation group were lower than those in the control group(P＜0.05),and the VAS of lower extremity pain at 1 week after surgery in the observation group was lower than those in the control group(P＜0.05).At 1 week,3 months and 12 months postoperation,the JOA scores after surgery in the observation group were higher than those in the control group(P＜0.05).At the last follow-up,there was no statistical difference in the excellent and good rate of lumbar function evaluated by MacNab criteria between the two groups(P＜0.05).Conclusions In the treatment of lumbar degenerative diseases,both MIS-TLIF under microscope-assisted fixation channel and Quadrant channel can achieve satisfactory clinical efficacy.MIS-TLIF under microscope-assisted fixation channel can provide precise surgical operation for the surgeon,and has obvious minimally invasive advantages in the early postoperative pe-riod,but the operation time is relatively longer.关键词
显微镜/Quadrant通道/固定通道/腰椎退行性疾病/微创经椎间孔腰椎间融合术Key words
microscope/Quadrant channel/fixed channel/lumbar degenerative diseases/MIS-TLIF分类
医药卫生引用本文复制引用
文杰,丁国兴,万应龙,张辉..显微镜辅助固定通道下微创经椎间孔腰椎间融合术治疗腰椎退行性疾病[J].临床骨科杂志,2025,28(5):634-638,5.基金项目
甘肃省科技厅青年科技基金项目(编号:23JRRA1779) （编号:23JRRA1779）
