脊柱内镜下腰椎间融合技术治疗单节段腰椎退行性疾病的临床效果

doi:10.20047/j.issn1673-7210.2022.33.17

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Abstract Objective To investigate the clinical efficacy of endoscopic posterior lumbar interbody fusion for treatment of single-level lumbardegenerative disease. Methods The clinical data of 48 patients of single segment lumbar degenerative diseases treated in Baoji Hospital of Traditional Chinese Medicine from May 2018 to January 2021 were retrospectively analyzed. They were divided into minimally invasive group and open group according to different surgical methods, with 24 cases in each group. The minimally invasive group was treated with endoscopic posterior lumbar interbody fusion, and the open group was treated with traditional posterior lumbar fusion. The perioperative indexes, visual analogue scale (VAS) score of low back pain and Oswestry dysfunction index (ODI) were compared between the two groups. The clinical efficacy was evaluated according to the scoring standard of low back pain surgery in the spine group of Chinese orthopaedic society. Results The incision length of the minimally invasive group was shorter than that of the open group, the operation time was longer than that of the open group, the blood loss was less than that of the open group, and the length of hospital stay was shorter in the open group, and the differences were statistically significant (P ＜ 0.05). Intra-group comparison: there were statistically significant differences between the two groups at each time point (P ＜ 0.05). Comparison between groups: there were no significant differences in VAS score and ODI index between the two groups before operation (P ＞ 0.05), and the VAS score and ODI index of the micro-wound group were lower than those of the open group at one week after operation (P ＜ 0.05). However, there were no significant differences in VAS score and ODI index between the two groups at six months after operation and at the last follow-up (P ＞ 0.05). There was no significant difference in clinical efficacy between the two groups (P ＞ 0.05). Conclusion Endoscopic lumbar decompression and interbody fusion technology for the treatment of single level lumbar degenerative diseases has the advantages of small tissue trauma, less surgical bleeding, short hospital stay, fast postoperative recovery, and less damage to the posterior structure of the lumbar spine. At the same time, it can achieve similar curative effects to traditional open surgery.

Key words： Lumbar degenerative disease Endoscopic Lumbar interbody fusion Minimally invasive

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	SHANG Rongan FENG Wanli WANG Junfeng XIA Xiujia CAO Panju ZHANG Jie WANG Xiaoming KANG Jian

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SHANG Rongan FENG Wanli WANG Junfeng XIA Xiujia CAO Panju ZHANG Jie WANG Xiaoming KANG Jian. Clinical efficacy of endoscopic posterior lumbar interbody fusion in the treatment of single-level lumbar degenerative diseases[J]. 中国医药导报, 2022, 19(33): 79-82.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.33.17 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I33/79

[1] 刘京宇，张巧云，周谋望，等.腰椎退行性疾病术后功能恢复的影响因素研究[J].中国康复医学杂志，2019，34（8）：907-912.
[2] Mobbs RJ，Phan K，Malham G，et al. Lumbar interbody fusion：techniques，indications and comparison of interbody fusion options including PLIF，TLIF，MI-TLIF，OLIF/ATP，LLIF and ALIF [J]. J Spine Surg，2015，1（1）：2-18.
[3] Price JP，Dawson JM，Schwender JD，et al. Clinical and radiologic comparison of minimally invasive surgery with traditional open transforaminal lumbar interbody fusion：a reviewof 452 patients from a single center [J]. Clin Spine Surg，2018，31（2）：E121-E126.
[4] 赵志刚，刘晓光.微创经椎间孔入路腰椎椎间融合术治疗腰椎退行性疾病的研究进展[J].中国脊柱脊髓杂志，2019，29（4）：371-375.
[5] Meng B，Bunch J，Burton D，et al. Lumbar interbody fusion：recent advances in surgical techniques and bone healing strategies [J]. Eur Spine J，2021，30（1）：22-33.
[6] 孙凤龙，梁庆晨，王宏庆，等.经皮内镜下椎板减压术与开放半椎板减压术治疗腰椎管狭窄症的疗效比较[J].中华骨科杂志，2019，39（12）：755-765.
[7] Nomura H，Akihisa Y，Watanabe T，et al. Quantitative analysis of indirect decompression in extreme lateral interbodyfusion and posterior spinal fusion with a percutaneouspedicle screw system for lumbar spinal stenosis [J]. J Spine Surg，2019，5（2）：266-272.
[8] Zhang J，Jin MR，Zhao TX，et al. Clinical application of percutaneous transforaminal endoscope－assisted lumbar interbody fusion [J]. Zhongguo Gu Shang，2019，32（12）：1138- 1143.
[9] Zhang YW，Xia WH，Gao WC，et al. Direct foraminoplasty in endoscope-assisted transforaminal lumbar interbody fusion for thetreatment of lumbar disc herniation [J]. J Int Med Res，2020，48（1）：300060519875372.
[10] Song H，Hu W，Liu Z，et al. Percutaneous endoscopic interlaminar discectomy of L5-S1 disc herniation：A comparison between intermittent endoscopy technique and full endoscopy technique [J]. J Orthop Surg Res，2017，12（1）：162.
[11] Chan AK，Sharma V，Robinson LC，et al. Summary of guidelines for thetreatment of lumbar spondylolisthesis [J]. Neurosurg Clin N Am，2019，30（3）：353-364.
[12] 万大地，袁野，范鑫超，等.腰椎滑脱症的分类及治疗进展[J].中国医药导刊，2021，23（3）：190-194.
[13] Hiroshi T，Yasuchika A，Junya S，et al. Unilateral laminectomy for bilateral decompression improves low back pain while standing equally on both sides in patients with lumbar canal stenosis：analysis using a detailed visual analogue scale [J]. BMC Musculoskelet Disord，2019，20（1）：100.
[14] Fairbank JC，Pynsent PB. The Oswestry disability index[J].Spine（Phila Pa 1976），2000，25（22）：2940-2952.
[15] 陈伯华，陈福令，胡有谷.腰椎间盘突出症术后的中远期疗效分析[J].中华骨科杂志，2009，29（7）：630-633.
[16] 高琨，杨浩，刘亮，等.椎间孔镜BEIS技术与TLIF手术治疗老年腰椎管狭窄症的疗效比较[J].中国骨与关节损伤杂志，2019，34（1）：19-22.
[17] Ahn Y，Youn MS，Heo DH. Endoscopic transforaminal lumbarinterbody fusion：a comprehensive review [J]. Expert Rev MedDevices，2019，16（5）：373-380.
[18] 王放，王永虎，乔浩，等.脊柱内镜下融合技术治疗退行性腰椎疾病的早期疗效[J].西安交通大学学报（医学版），2022，43（1）：143-148.
[19] 熊含颖，吴子龙，黄伟翠，等.基于内镜下经椎板间入路治疗腰椎间盘突出症的临床效果[J].中国医药科学，2021， 11（12）：187-190.
[20] Ahn Y，Youn MS，Heo DH. Endoscopic transforaminal lumbar interbody fusion：a comprehensive review [J]. Expert Rev Med Devices，2019，16（5）：373-380.
[21] 张骏，金梦然，赵廷潇，等.经皮脊柱内镜辅助下腰椎椎体间融合术及其临床应用[J].中国骨伤，2019，32（12）：1138-1143.
[22] 孙凤龙，梁庆晨，王宏庆，等.脊柱内镜下经椎间孔腰椎椎间融合术治疗腰椎间盘突出症伴腰椎不稳的早期临床研究[J].中华骨与关节外科杂志，2019，12 （10）：754-760.
[23] 周友华，吴方前.经皮椎间孔脊柱内窥镜术对腰椎间盘突出症患者治愈率与症状改善效果的影响[J].中国当代医药，2022，29（8）：71-73，78.
[24] 尹稳，焦伟，于海洋，等.脊柱大通道内镜辅助下经皮椎弓根空心螺钉置入在腰椎融合治疗中的应用探讨[J]. 中国骨与关节杂志，2021，10（6）：456-461.
[25] Li Y，Dai Y，Wang B，et al. Full-endoscopic posterior lumbarinterbody fusion via an interlaminar approach versus minimallyinvasive transforaminal lumbar interbody fusion：a preliminaryretrospective study [J]. World Neurosurg，2020， 144（12）：e475-e482.
[26] Jacquot F，Gastambide D. Percutaneous endoscopic transforaminal lumbar interbody fusion：is it worth it [J]. Int Orthop，2013，37（8）：1507-1510.
[27] 杨晋才.经皮内镜辅助腰椎融合技术面临的问题与挑战[J].中华医学杂志，2019，99（33）：2566-2568.
[28] 白成瑞，杨雍，费琦，等.经皮腰椎脊柱内镜手术短期疗效分析[J].临床和实验医学杂志，2022，21（10）：1071-1074.