经皮内镜辅助下经椎间孔腰椎减压融合术治疗腰椎滑脱症的疗效观察
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舟山市中医院

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舟山市科技局,经皮内镜辅助下经椎间孔腰椎减压融合术在腰椎退变性疾病中的疗效观察,编号:2021C31063.


Effect of transforaminal lumbar decompression and fusion assisted by percutaneous endoscopy for lumbar spondylolisthesis
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Zhoushan Traditional Chinese Medicine Hospital

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    摘要:

    目的 探讨腰椎滑脱症通过经皮内镜辅助下经椎间孔腰椎减压融合术治疗的效果。方法 选取我院2019年7月-2022年6月收治的64例腰椎滑脱症患者,采用随机数字表法分为两组,各32例。对照组经传统开放手术治疗,观察组采用经椎间孔腰椎减压融合术(经皮内镜辅助)治疗。观察至术后6个月,记录手术相关指标、滑脱角及滑脱率、功能恢复情况、术后并发症发生率。结果 观察组术中出血量较对照组少,手术时间、术后住院时间较对照组短,有统计学差异(P<0.05);术后6个月,两组滑脱角对比,无统计学差异(P>0.05);术后6个月,两组滑脱角及滑脱率均较术前低,但观察组滑脱率较对照组高,有统计学差异(P<0.05);术后6个月,观察组ODI评分较对照组低,JOA评分较对照组高,有统计学差异(P<0.05);观察组并发症总发生率(3.13%)较对照组(25.00%)低,有统计学差异(P<0.05)。结论 腰椎滑脱症患者通过经皮内镜辅助下经椎间孔腰椎减压融合术治疗,利于缓解功能障碍,且安全性高。

    Abstract:

    Objective To investigate the effect of lumbar spondylolisthesis treated by transforaminal lumbar decompression and fusion assisted by percutaneous endoscopy. Methods 64 patients with lumbar spondylolisthesis admitted to our hospital from July 2019 to June 2022 were selected and divided into two groups by random number table method, 32 cases in each group. The control group was treated with traditional open surgery, and the observation group was treated with transforaminal lumbar decompression and fusion (assisted by percutaneous endoscopy). 6 months after operation, operative indicators, slippage Angle and slippage rate, functional recovery and incidence of postoperative complications were recorded. Results The amount of intraoperative blood loss in the observation group was less than that in the control group, and the operation time and postoperative hospitalization time were shorter than that in the control group, with statistical differences (P < 0.05). 6 months after surgery, there was no significant difference in slippage Angle between the two groups (P > 0.05). 6 months after surgery, the slippage Angle and slippage rate in both groups were lower than those before surgery, but the slippage rate in observation group was higher than that in control group, and the difference was statistically significant (P < 0.05). Six months after surgery, ODI score in the observation group was lower than that in the control group, while JOA score was higher than that in the control group, with statistical differences (P < 0.05). The total incidence of complications in the observation group (3.13%) was lower than that in the control group (25.00%), and the difference was statistically significant (P < 0.05). Conclusion The treatment of lumbar spondylolisthesis by transforaminal lumbar decompression and fusion assisted by percutaneous endoscopy is beneficial to relieve the dysfunction and has high safety.

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  • 收稿日期:2022-08-29
  • 最后修改日期:2022-08-29
  • 录用日期:2022-11-25
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