扩张通道微创系统下经椎间孔入路腰椎椎间融合术治疗腰椎管狭窄症的效果

Effect of Lumbar interbody fusion with transforaminal approach in a minimally invasive dilated channel system for lumbar spinal stenosis

目的:探究腰椎管狭窄症患者在扩张通道微创系统下应用椎间孔入路腰椎椎间融合术治疗的临床价值。方法:选取2019年4月至2020年3月本院的82例腰椎管狭窄症患者作为研究对象,通过随机数字表法分为对照组和观察组,各41例。对照组患者采用经椎间孔入路腰椎椎间融合术进行治疗,观察组患者采用扩张通道微创系统下经椎间孔入路腰椎椎间融合术进行治疗。比较两组患者手术情况各项指标、临床治疗效果。手术完成1、3个月后疼痛评分。结果:手术情况各项指标较对照组,观察组均显著较短或较少,差异有统计学意义(P<0.05);观察组患者术后的康复质量整体优于对照组患者,观察组康复总有效率为92.68%,对照组康复总有效率为78.05%,观察组高于对照组(P<0.05);观察组手术完成1、3个月后较对照组患者疼痛评分显著降低,差异有统计学意义(P<0.05)。结论:腰椎管狭窄症患者在扩张通道微创系统下应用椎间孔入路腰椎椎间融合术治疗的临床效果突出,手术时间快,术中出血量少,术后疼痛缓解程度好。值得推荐和应用。

Objective:To explore the clinical value of transforaminal lumbar interbody fusion in patients with lumbar spinal stenosis under the minimally invasive expansion channel system.Methods:From April 2019 to March 2020,82 patients with lumbar spinal stenosis were selected from hospital as the research objects,and divided into the control group and the observation group by random number table method,with 41 cases in each group.The patients in the control group were treated with lumbar fusion via transforaminal approach.The patients in the observation group were treated by transforaminal lumbar interbody fusion under the minimally invasive system of dilation channel.The surgical indicators and clinical treatment effects were compared between the two groups of patients.Pain scores 1 and 3 months after the completion of surgery.Results:Compared with the control group,the observation group all the indexes of the operation conditions were significantly shorter or less,and the difference was statistically significant(P<0.05).The postoperative rehabilitation quality of the observation group was better than that of the control group.Judging from the later rehabilitation of the two groups of patients,the total effective rates of the observation group and the control group were 92.68% and 78.05%,respectively.The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).1 and 3 months after the operation,the pain score of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:For patients with lumbar spinal stenosis,the clinical effect of lumbar interbody fusion through the transforaminal approach under the minimally invasive system of dilation channel is outstanding,the operation time is fast,the intraoperative blood loss is less,and the postoperative pain relief is good.Worth recommending and applying.