MIS-TLIF治疗腰椎管狭窄合并腰椎不稳症患者的临床效果分析

The clinical effect analysis of MIS-TLIF in the treatment of lumbar spinal stenosis combined with lumbar instability

目的探究微创经椎间孔入路腰椎融合术(MIS-TLIF)治疗腰椎管狭窄合并腰椎不稳症患者的临床效果。方法选取本院2017年2月至2018年2月收治的80例腰椎管狭窄合并腰椎不稳症患者,采用随机数字表法分为观察组与对照组,各40例。观察组采用MIS-TLIF治疗,对照组采用常规经椎间孔入路腰椎融合术(TLIF)治疗。比较两组治疗效果。结果观察组手术用时、卧床时间及住院时间均显著短于对照组(P<0.05),术中失血量、术后引流量均显著少于对照组(P<0.05);观察组严重并发症发生率为0.00%,低于对照组的2.50%(P<0.05)。结论对腰椎管狭窄合并腰椎不稳症患者采用MIS-TLIF治疗后,不仅严重并发症发生率低,且能缩短患者手术用时、卧床时间及住院时间,减少术中失血量、术后引流量,值得临床应用与推广。

Objective To explore the clinical effect of minimally invasive transforaminal lumbar fusion(MIS-TLIF)in the treatment of lumbar spinal stenosis with lumbar instability.Methods Using random number table method,80 patients with lumbar spinal stenosis combined with lumbar instability treated in our hospital from February 2017 to February 2018 were divided into observation group and control group,with 40 cases in each group,the observation group was treated with MIS-TLIF,while the control group was treated with conventional TLIF.Explored the effect of different treatments on the therapeutic effect.Results The operation time,bed-rest time and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.05),and the intraoperative blood loss and postoperative drainage volume were significantly less than those of the control group(P<0.05).There was no significant difference in the incidence of severe complications between the observation group(0.00%)and the control group(2.50%)(P<0.05).Conclusion After MIS-TLIF treatment for patients with lumbar spinal stenosis and lumbar instability,not only the incidence of serious complications is low,but also the time of operation,bed rest and hospitalization can be shortened,intraoperative blood loss,postoperative drainage can be reduced,the physical,psychological,social,this method is worthy of application and promotion.