脊柱微创通道镜下椎间孔腰椎椎体间融合术治疗腰椎退行性疾病的效果分析

Analysis of the Effect of Intervertebral Foramen and Lumbar Interbody Fusion Under Minimally Invasive Spine Channel Treatment for Lumbar Degenerative Diseases

目的:探讨脊柱微创通道镜下经椎间孔腰椎椎体间融合术治疗腰椎退行性疾病的临床效果。方法:搜集2015年10月~2018年1月在本院接受治疗的93例腰椎退行性疾病患者的病历资料进行回顾性分析,对照组:48例已实施开放椎体间融合术的患者,观察组:45例脊柱微创通道镜下经椎间孔腰椎椎体间融合术的患者;观察两组患者治疗前、后疼痛评分(VAS),及治疗后功能恢复评分(JOA)评价治疗效果。结果:两组患者术前VAS、JOA评分差异无统计学意义,出院时、治疗后6个月观察组患者JOA显著高于对照组,VAS疼痛评分低于对照组,且P<0.05。结论:脊柱微创通道镜下椎间孔腰椎椎体间融合术对于腰椎退行性疾病的治疗效果优于开放融合术,对患者损伤小,术后疼痛、功能恢复效果具有明显优势。

Objective:To explore the clinical effect of lumbar vertebral body fusion through transforaminal lumbar interbody fusion under minimally invasive spine channel microscopy.Methods:The medical records of 93 patients with degenerative lumbar disease treated in our hospital from October 2015 to January 2018 were collected for retrospective analysis.The control group:48 patients who had undergone open interbody fusion surgery and observed Group:Fortyfive patients underwent spinal foramen-lumbar interbody fusion under minimally invasive spinal tunnel microscopy;the pain scores(VAS)before and after treatment and the functional recovery score(JOA)after treatment were evaluated in the two groups.Results:There was no statistically significant difference in VAS and JOA scores between the two groups before operation.At the time of discharge and 6 months after treatment,the JOA of the observation group was significantly higher than that of the control group,and the VAS pain score was lower than that of the control group,and P<0.05.Conclusion:The treatment of lumbar intervertebral foramen spinal interbody fusion with minimally invasive spine tunneling is better than open fusion for the treatment of degenerative diseases of the lumbar spine.It has less damage to patients,and has obvious advantages in postoperative pain and functional recovery.