[1]李红,毛文△,童凯.单侧双通道内镜下腰椎间融合术治疗腰椎滑脱的临床疗效观察[J].中国中医骨伤科杂志,2022,30(09):58-61+66.
　LI Hong,MAO Wen,TONG Kai.Clinical Analysis of Unilateral Biportal Endoscopic Transforaminal Lumbar Interbody Fusion on the Treatment of Lumbar Spondylolisthesis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(09):58-61+66.
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单侧双通道内镜下腰椎间融合术治疗腰椎滑脱的临床疗效观察()
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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09期
页码:
58-61+66
栏目:
临床报道
出版日期:
2022-09-15

文章信息/Info

Title:
Clinical Analysis of Unilateral Biportal Endoscopic Transforaminal Lumbar Interbody Fusion on the Treatment of Lumbar Spondylolisthesis
文章编号:
1005-0205(2022)09-0058-04
作者:
李红1; 毛文1△; 童凯2
1武汉市第三医院骨科(武汉,430074)
2武汉大学人民医院骨外科
Author(s):
LI Hong1; MAO Wen1△; TONG Kai2
1Department of Orthopaedics,Wuhan Third Hospital,Wuhan 430074,China; 2Department of Orthopaedics,People's Hospital of Wuhan University,Wuhan 430060,China.
关键词:
脊柱微创;  内镜;  双通道;  腰椎滑脱症
Keywords:
minimally invasive spine;  endoscopy;  dual channel;  lumbar spondylolisthesis
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经椎间孔腰椎间融合术(ULIF)治疗单节段Ⅰ,Ⅱ度腰椎滑脱症的临床疗效。方法:回顾性分析2019年11月至2021年9月27例行单侧双通道内镜下腰椎间融合术的单节段Meyerding分型Ⅰ,Ⅱ度腰椎滑脱患者的临床资料,记录手术时间、术中出血量、术后并发症及发生率,术前和术后采用视觉模拟(VAS)评分和腰椎Oswestry功能障碍指数(ODI)评分评估患者疼痛程度和功能障碍情况,在末次随访时采用改良MacNab评分标准进行疗效评估。结果:术后获得6～20个月有效随访; 手术时间为165～210 min,平均为(181±14)min; 术中出血量为160～280 mL,平均为(217±35)mL; 术后1个月、3个月及末次随访时腰腿痛VAS评分及ODI评分均优于术前,差异有统计学意义(P<0.05)。术后并发症总发生率为7.4%,其中有1例发生无症状性脑脊液漏,经卧床、改变体位、引流等对症处理后恢复; 术后有1例出现神经根激惹,经保守治疗后恢复; 术后无Cage下沉、移位,无断钉、硬膜外血肿及感染; 末次随访时改良MacNab评分标准疗效评定优良率为92.6%。结论:应用ULIF技术治疗单节段Ⅰ,Ⅱ度退行性腰椎滑脱可获得良好的临床疗效,值得临床推广应用。
Abstract:
Objective:To investigate the clinical efficacy of unilateral biportal endoscopic transforaminal lumbar interbody fusion(ULIF)on the treatment of single-level lumbar spondylolisthesis.Methods:The clinical data of 27 patients with single-level Meyerding classification Ⅰ,Ⅱ lumbar spondylolisthesis from November 2019 to September 2021 were retrospectively analyzed,and the operative time,intraoperative blood loss,postoperative complications and incidence were recorded.Visual analogue scale(VAS)scores and lumbar Oswestry disability index(ODI)were used to assess pain and dysfunction before and after surgery,and the efficacy was evaluated by modified MacNab scores at the last follow-up.Results:Effective follow-up was obtained for 6 to 20 months after operation.The operative time was 165 to 210 min with(181±14)min on average,and the intraoperative blood loss was 160 to 280 mL with(217±35)mL on average.VAS scores and ODI at 1 month,3 months and the last follow-up were better than those before surgery(P<0.05).The incidence of postoperative complications was 7.4%,including 1 case of asymptomatic cerebrospinal fluid leakage,which was recovered after bed rest,change of position,drainage,and other symptomatic treatment.Postoperative nerve root irritation occurred in 1 case,which recovered after conservative treatment.No Cage sinking,displacement,broken nails,epidural hematoma,and infection were observed after operation.At the last follow-up,the excellent and good rates of the group were 92.6% respectively.Conclusion:ULIF technique on the treatment of single-level Ⅰ,Ⅱ degenerative lumbar spondylolisthesis has a good clinical effect and is worth popularizing.

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备注/Memo

备注/Memo:
△通信作者 E-mail:wenmao431@163.com
更新日期/Last Update: 2022-09-10