直视下微创(quadrant系统辅助下)与切开进行单节段腰椎融合术的临床效果比较

Comparison of Clinical Effect of Single-segment Lumbar Spinal Fusion by Direct Vision Minimally Invasive(Assisted by Quadrant System) and Resection

目的方便分析比较直视下微创(quadrant系统辅助下)与切开进行单节段腰椎融合术的临床效果,为临床提供参考依据。方法选择该院收治的100例腰椎退行性疾病患者作为该次研究的对象,收治时间在2014年6月1日—2015年12月1日期间,这100例患者均使用数字抽取法进行分组,分成各有50例患者的实验组和对照组,实验组采取直视下微创手术治疗,对照组采取切开进行单节段腰椎融合手术治疗,并在治疗结束后,对比分析两组的术中出血量、手术时间、术后切口引流量、术后下床活动时间、住院时间、VAS疼痛评分及并发症发生率。结果实验组的并发症发生率为6.00%,共3例,对照组的并发症发生率28.00%,共14例(P<0.05);实验组的术中出血量、手术时间、术后切口引流量、术后下床活动时间、住院时间、VAS疼痛评分均低于对照组(P<0.05),差异具有统计学意义。结论与切开进行单节段腰椎融合术相较,quadrant系统辅助下进行微创手术治疗腰椎退行性疾病具有更加显著的疗效。

Objective To analyze the clinical effect of single-segment lumbar spinal fusion by direct vision minimally invasive（assisted by quadrant system） and resection and provide reference for the clinic. Methods 100 cases of patients with lumbar degenerative disease admitted and treated in our hospital from June 1, 2014 to December 1,2015 were selected as the research objects and randomly divided into two groups with 50 cases in each, the experimental group were treated with single-segment lumbar spinal fusion by direct vision minimally invasive, the control group were treated with single-segment lumbar spinal fusion by resection, and the intraoperative blood loss, operation time, postoperative wound drainage,postoperative time of leaving bed, length of stay, VAS pain score and incidence rate of complications of the two groups were compared and analyzed. Results The incidence rate of complications was 6.00%（3 cases） in the experimental group and28.00%（14 cases） in the control group, P〈0.05; the intraoperative blood loss, operation time, postoperative wound drainage,postoperative time of leaving bed, length of stay, VAS pain score in the experimental group were lower than those in the control group, and all differences had statistical significance, P〈0.05.Conclusion The curative effect of minimally invasive operation assisted by quadrant system in treatment of lumbar degenerative disease is more obvious than that of single-segment lumbar spinal fusion by resection.