OLIF与TLIF治疗腰椎滑脱症的近期效果比较

Comparison of the Short-term Effects of the Treatment of Lumbar Spondylolisthesis with OLIF and TLIF

目的:观察斜向腰椎间融合术(OLIF)与经椎间孔入路腰椎间融合术(TLIF)治疗腰椎滑脱症的近期效果。方法:选取本院2019年1-7月收治的腰椎滑脱患者60例,采取随机数字法分成O组(30例)与T组(30例),O组实施OLIF,T组实施TLIF。对比两组围手术期指标及术前、术后1周、术后6个月视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、生活质量评分。结果:O组术中出血量少于T组,手术时间与住院时间均短于T组(P<0.05)。术前、术后6个月,两组VAS评分、ODI比较差异无统计学意义(P>0.05)。术后1周,O组VAS评分、ODI低于T组(P<0.05)。治疗前两组世界卫生组织生存质量简表(WHOQOL-BREF)评分差异无统计学意义(P>0.05)。治疗后,两组WHOQOL-BREF评分明显升高,O组WHOQOL-BREF各项评分明显高于T组(P<0.05)。结论:在腰椎滑脱症患者的治疗中,OLIF与TLIF均可以取得较好的治疗效果,但是以OLIF术治疗,可明显减轻患者术后短期的疼痛感及患者功能障碍,改善患者的生活质量。

Objective:To observe the short-term effects of oblique lumbar interbody fusion(OLIF)and transforaminal lumbar interbody fusion(TLIF)in the treatment of lumbar spondylolisthesis.Method:A total of 60 patients with lumbar spondylolisthesis were admitted to our hospital from January 2019 to July 2019.They were divided into the group O(30 cases)and the group T(30 cases)by random number method.The group O underwent OLIF,and the group T underwent TLIF.The perioperative indexes,visual analogue scale(VAS)score before operation,1 week after operation and 6 months after operation,Oswestry dysfunction index(ODI)and quality of life score were compared between the two groups.Result:The amount of intraoperative bleeding in the group O was less than that in the group T,and the duration of operation and hospitalization in the group O were shorter than those in the group T(P<0.05).Before surgery and six months after surgery,there were no statistically significant differences in the VAS score and ODI between the two groups(P>0.05).One week after surgery,the VAS score and ODI in the group O were lower than those in the group T(P<0.05).Before treatment,there was no significant difference in World Health Organization quality of life(WHOQOL-BREF)scores between the two groups(P>0.05).After treatment,the scores of WHOQOL-BREF were significantly increased in both groups,the scores of WHOQOL-BREF in the group O were significantly higher than those in the group T(P<0.05).Conclusion:In the treatment of patients with lumbar spondylolisthesis,the treatment with OLIF in TLIF can achieve better therapeutic effect,but the treatment with OLIF can significantly reduce the short-term postoperative pain and the dysfunction of patients,improve the quality of life of patients.