生物骨科材料与临床研究2026，Vol.23Issue(2)：34-39,6.DOI:10.3969/j.issn.1672-5972.2026.02.006
一次性13mm固定通道下MIS-TLIF治疗腰椎间盘突出症的对比研究
A comparative study of MIS-TLIF in the treatment of lumbar disc herniation under a one-time 13 mm fixed channel
顾佳龙 1赵敏 2肖波 1蔡晓敏 1肖春林 3杨俊 4李浩 1周江军1
作者信息
- 1. 中国人民解放军联勤保障部队第九〇八医院骨科,江西 南昌,330001
- 2. 鹰潭市人民医院骨科,江西 鹰潭,335000
- 3. 赣南医科大学第一附属医院骨科,江西 赣州,341000
- 4. 鹰潭一八四医院骨科,江西 鹰潭,335000
- 折叠
摘要
Abstract
Objective To compare the surgical effects of minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF)in the treatment of lumbar intervertebral disc protrusion using the one-time 13 mm fixed channel and the Quadrant dilation channel.Methods A retrospective study was conducted on 37 patients with lumbar intervertebral disc protrusion who were hospitalized in the 908th Hospital of Chinese People's Liberation Army Joint Logistic Support Force from July 2022 to July 2023.MIS-TLIF surgery was performed in two ways,with 20 cases in the 13 mm fixed channel group,and 17 cases in the Quadrant dilated channel group.The operation time,blood loss,incision length,hospital stay,as well as follow-up indicators such as VAS score for low back and leg pain,JOA and ODI score of the two groups of patients were statistically analyzed for a comparative study.Results All patients were followed up completely.The follow-up period ranged from 12 to 16 months,with an average of(13.81±1.45)months.In terms of intraoperative blood loss,incision length,and operation time,the 13 mm fixed channel group was superior to the Quadrant dilated channel group(P<0.05),but there was no statistically significant difference in hospital stay between the 13 mm fixed channel group and the Quadrant dilated channel group(P>0.05).The VAS scores of low back and leg pain,JOA and ODI scores of the two groups of patients on the 3rd day,1 month,3 months and 12 months after the operation were significantly lower than those before the operation(P<0.05),but there was no statistically significant difference between the two groups(P>0.05).Conclusion The one-time 13 mm fixed channel and the Quadrant dilation channel have comparable therapeutic effects on lumbar intervertebral disc protrusion,and both have achieved good clinical efficacy.At the same time,the one-time 13 mm fixed channel has the advantages of fluoroscopy,less trauma,less bleeding,better intraoperative muscle tissue blocking,and less postoperative pain,etc.Compared with the traditional expansion channel,it is more worthy of promotion.关键词
腰椎间盘突出症/通道下经椎间孔入路腰椎椎间融合术/一次性13mm固定通道/Quadrant扩张通道Key words
Lumbar disc herniation/Lumbar interbody fusion via subchannel transforaminal approach/One-time 13 mm fixed channel/Quadrant expansion channel分类
医药卫生引用本文复制引用
顾佳龙,赵敏,肖波,蔡晓敏,肖春林,杨俊,李浩,周江军..一次性13mm固定通道下MIS-TLIF治疗腰椎间盘突出症的对比研究[J].生物骨科材料与临床研究,2026,23(2):34-39,6.
