PE-TLIF对单节段腰椎间盘突出症伴节段性不稳患者腰椎功能和远期退变的影响
Effect of PE-TLIF on Lumbar Function and long-term Degeneration in Patients with single segment Lumbar Disc Herniation accompanied by segmental Instability
胥世凡 1石新成1
作者信息
- 1. 许昌市人民医院 骨外一科,河南 许昌 461000
- 折叠
摘要
目的 探讨经皮内镜下经椎间孔腰椎椎间融合术(PE-TLIF)对单节段腰椎间盘突出症伴节段性不稳患者腰椎功能和远期退变的影响.方法 选取 2020 年 1 月至 2022 年 5 月在许昌市人民医院收治的 120 例单节段腰椎间盘突出症伴节段性不稳患者,随机将患者分为PE-TLIF组和对照组,每组各 60 例.对照组患者采用髓核摘除术治疗,PE-TLIF组采用PE-TLIF治疗.分别于术前和术后 1 个月,比较两组患者的疼痛评分和腰椎功能恢复情况,术后半年对患者进行随访,记录比较两组患者的腰椎远期退变情况.结果 术后 1 个月,PE-TLIF组患者的各项视觉模拟疼痛(VAS)评分均低于对照组患者,差异均有统计学意义(P＜0.05).术后 1 个月,PE-TLIF组患者的Oswestry功能障碍指数低于对照组,关节活动度小于对照组,差异有统计学意义(P＜0.05).术后 1 个月,PE-TLIF组患者治疗疗效为76.67%,对照组为 63.33%,差异无统计学意义(P＞0.05).术后 3 个月,PE-TLIF组患者治疗有效率 85.00%,对照组为 65.00%,差异有统计学意义(P＜0.05).术后 6 个月,PE-TLIF组患者治疗有效率 95.00%,对照组为 85.00%,差异无统计学意义(P＞0.05).结论 PE-TLIF治疗术可以更快地减轻患者疼痛,使患者的腰椎功能可以更快地康复.
Abstract
Objective To explore the effects of percutaneous endoscopic transforaminal lumbar interbody fusion(PE-TLIF)on lumbar spine function and long-term degeneration in patients with single segment lumbar disc herniation and segmental instability.Methods A total of 120 patients with single segment lumbar disc herniation accompanied by segmental instability admitted to Xuchang People's Hospital from January 2020 to May 2022 were randomly divided into PE-TLIF group and control group,with 60 patients in each group.The control group patients were treated with nucleus pulposus removal surgery,while the PE-TLIF group was treated with PE-TLIF.The pain scores and lumbar functional recovery of the two groups of patients before and one month after surgery were compared.Following-up will be conducted six months after surgery to record and compare the long-term lumbar degeneration of the two groups of patients.Results One month after surgery,the visual analogue pain(VAS)scores of patients in the PE-TLIF group were lower than those in the control group,and the differences were statistically significant(P＜0.05).One month after surgery,the Oswestry dysfunction index and joint range of motion of patients in the PE-TLIF group were lower than those in the control group,and the difference was statistically significant(P＜0.05).One month after surgery,the treatment efficacy of PE-TLIF group patients was 76.67%,while the control group was 63.33%,with no statistically significant difference(P＞0.05).After 3 months of surgery,the effective rate of treatment in the PE-TLIF group was 85.00%,while in the control group it was 65.00%,with a statistically significant difference(P＜0.05).After 6 months of surgery,the effective rate of treatment in the PE-TLIF group was 95.00%,while in the control group it was 85.00%,with no statistically significant difference(P＞0.05).Conclusion PE-TLIF treatment can alleviate patient pain faster and enable faster recovery of lumbar spine function.
关键词
经皮内镜下经椎间孔腰椎椎间融合术/髓核摘除术/单节段腰椎间盘突出症/节段性不稳Key words
percutaneous endoscopic transforaminal lumbar interbody fusion/nucleus pulposus removal surgery/single segment lumbar disc herniation/segmental instability引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据