[1]郭文龙,樊效鸿△.单侧双通道内镜下腰椎融合术治疗退行性腰椎管狭窄症33例[J].中国中医骨伤科杂志,2022,30(12):45-49+53.
　GUO Wenlong,FAN Xiaohong.Observation of Early Clinical Efficacy of Unilateral Biportal Endoscopic Transforaminal Lumbar Interbody Fusion on the Treatment of Degenerative Lumbar Spinal Stenosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(12):45-49+53.
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单侧双通道内镜下腰椎融合术治疗退行性腰椎管狭窄症33例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年12期
页码:
45-49+53
栏目:
临床报道
出版日期:
2022-12-15

文章信息/Info

Title:
Observation of Early Clinical Efficacy of Unilateral Biportal Endoscopic Transforaminal Lumbar Interbody Fusion on the Treatment of Degenerative Lumbar Spinal Stenosis
文章编号:
1005-0205(2022)12-0045-05
作者:
郭文龙1; 樊效鸿2△
1成都中医药大学(成都,610075) 2成都中医药大学附属医院
Author(s):
GUO Wenlong1; FAN Xiaohong2△
1Chengdu University of Traditional Chinese Medicine, Chengdu 610075,China; 2Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075,China.
关键词:
单侧双通道;  退行性腰椎管狭窄症;  腰椎融合术;  内镜下融合;  微创性
Keywords:
unilateral biportal endoscopic;  degenerative lumbar spinal stenosis;  lumbar fusion;  endoscopic fusion;  minimally invasive
分类号:
R681.5
文献标志码:
B
摘要:
目的:探讨单侧双通道内镜下腰椎融合术(Unilateral Biportal Endoscopic Transforaminal Lumbar Interbody Fusion,UBE-TLIF)治疗单节段退行性腰椎管狭窄症的早期临床疗效。方法:回顾性分析2020年1月至2021年1月收治的单节段退行性腰椎管狭窄症行UBE-TLIF治疗的患者33例。记录并比较术前、术后1个月、术后3个月、末次随访时腰痛视觉模拟量表(VAS)评分、腿痛VAS评分、Oswestry功能障碍指数(Oswestry Disability Index,ODI)评分、简明健康调查量表(SF-36量表)评分和末次随访时椎间融合情况。结果:所有患者均获得随访,随访时间为12～19个月,平均随访时间为13.96个月。术后各随访时间点,患者腰腿痛VAS评分、ODI评分及SF-36量表评分较前明显改善,差异有统计学意义(P<0.05)。术后1例患者出现一过性麻木(并发症发生率为3%)。末次随访时,所有患者影像学检查均未出现内固定物断裂、松动,融合器未出现沉降、下移等现象。结论:UBE-TLIF治疗退行性腰椎管狭窄症,具有减轻早期腰背部疼痛、功能恢复快、对脊柱周围软组织损伤少等优点,且具有较满意的融合率。
Abstract:
Objective:To investigate the early clinical efficacy of unilateral biportal endoscopic transforaminal lumbar interbody fusion(UBE-TLIF)on the treatment of single-segment degenerative lumbar spinal stenosis.Methods: 33 patients with single-segment degenerative lumbar spinal stenosis who underwent UBE-TLIF treatment from January 2020 to January 2021 were retrospectively analyzed. By using the visual analogue scale(VAS)to evaluate low back pain, leg pain. Oswestry disability index(ODI), and Simple Health Survey scale(SF-36 scale)and intervertebral fusion were recorded and compared before surgery, 1 month after surgery, 3 months after surgery, and at the last follow-up.Results: All patients were followed up for 12 to 19 months with 13.96 months on average. At each follow-up time point after operation, the VAS score, ODI score and SF-36 score of patients with low back and leg pain were significantly improved compared with the previous one, and the difference was statistically significant(P<0.05). Transient numbness occurred in 1 patient after surgery(complication rate 3%). At the last follow-up, all patients showed no fracture or loosening of the internal fixation, and no subsidence or downward movement of the cage.Conclusion:On the treatment of degenerative lumbar spinal stenosis, UBE-TLIF has the advantages of reducing early low back pain, fast functional recovery, less damage to the soft tissue around the spine, and has a satisfied fusion rate.

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备注/Memo

备注/Memo:
△通信作者 E-mail:fanxiaohong@cdutcm.edu.cn
更新日期/Last Update: 2022-12-10