首页|OLIF治疗腰椎间盘突出症的近期效果分析

OLIF治疗腰椎间盘突出症的近期效果分析

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目的 分析斜外侧腰椎椎间融合术(OLIF)治疗腰椎间盘突出症(LDH)的近期疗效.方法 48 例LDH患者,以随机数字表法分为对照组和观察组,各 24 例.对照组经后路腰椎椎间融合术(PLIF)治疗,观察组经OLIF治疗.比较两组围术期指标、疼痛程度、功能障碍情况及影像学参数.结果 观察组手术用时为(150.23±17.45)min,对照组为(145.23±13.25)min.两组手术用时比较无统计学差异(P>0.05).观察组术中出血量(274.15±52.34)ml少于对照组的(356.56±53.24)ml,住院用时(8.10±1.89)d短于对照组的(12.25±3.61)d(P<0.05).治疗后,对照组视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分分别为(2.29±0.35)、(15.53±2.12)分,观察组VAS、ODI评分分别为(2.13±0.33)、(14.51±2.44)分;相较对照组,观察组治疗后VAS、ODI评分更低,但无统计学差异(P>0.05).治疗后,对照组椎间隙前、后缘高度分别为(11.52±2.13)、(7.22±1.35)mm,观察组椎间隙前、后缘高度分别为(12.05±2.31)、(7.95±1.53)mm;相较对照组,观察组椎间隙前、后缘高度更高,但无统计学差异(P>0.05).结论 应用OLIF治疗LDH效果显著,患者术中出血量少,术后恢复快,临床可推广.
Analysis of the recent efficacy of OLIF in the treatment of lumbar disc herniation
Objective To analyze the recent efficacy of oblique lateral interbody fusion(OLIF)in the treatment of lumbar disc herniation(LDH).Methods A total of 48 LDH patients were divided into a control group and an observation group using a random number table,each consisting of 24 patients.The control group received posterior lumbar interbody fusion(PLIF)treatment,while the observation group received OLIF treatment.The perioperative indicators,degree of pain,functional impairment,imaging parameters were compared between the two groups.Results The operation time was(150.23±17.45)min in the observation group,and(145.23±13.25)min in the control group.There was no significant difference in operation time between the two groups(P>0.05).The intraoperative bleeding volume of(274.15±52.34)ml in the observation group was less than(356.56±53.24)ml in the control group,and the hospitalization time of(8.10±1.89)d was shorter than(12.25±3.61)d in the control group(P<0.05).After treatment,the scores of visual analogue scale(VAS)and Oswestry Disability Index(ODI)in the control group were(2.29±0.35)and(15.53±2.12)points,while those in the observation group were(2.13±0.33)and(14.51±2.44)points.Compared with control group,VAS and ODI scores in the observation group were lower after treatment,but there was no statistical difference(P>0.05).After treatment,the height of the anterior and posterior margins of the intervertebral space were(11.52±2.13)and(7.22±1.35)mm in the control group,and(12.05±2.31)and(7.95±1.53)mm in the observation group.Compared with the control group,the height of the anterior and posterior margins of the intervertebral space were higher in the observation group,but there was no statistical difference(P>0.05).Conclusion The use of OLIF in the treatment of LDH has a significant effect,with minimal intraoperative bleeding volume and fast postoperative recovery,which can be promoted.

Oblique lateral interbody fusionPosterior lumbar interbody fusionLumbar disc herniationDegree of painComplications

刘立博

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116021 大连市友谊医院

斜外侧腰椎椎间融合术 后路腰椎椎间融合术 腰椎间盘突出症 疼痛程度 并发症

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(18)