李长生, 李事成. Zista通道下治疗多节段腰椎管狭窄症的疗效分析[J]. 蚌埠医学院学报, 2021, 46(10): 1408-1411. DOI: 10.13898/j.cnki.issn.1000-2200.2021.10.021
    引用本文: 李长生, 李事成. Zista通道下治疗多节段腰椎管狭窄症的疗效分析[J]. 蚌埠医学院学报, 2021, 46(10): 1408-1411. DOI: 10.13898/j.cnki.issn.1000-2200.2021.10.021
    LI Chang-sheng, LI Shi-cheng. Efficacy analysis of the Zista channel in the treatment of multi-segment lumbar spinal stenosis[J]. Journal of Bengbu Medical College, 2021, 46(10): 1408-1411. DOI: 10.13898/j.cnki.issn.1000-2200.2021.10.021
    Citation: LI Chang-sheng, LI Shi-cheng. Efficacy analysis of the Zista channel in the treatment of multi-segment lumbar spinal stenosis[J]. Journal of Bengbu Medical College, 2021, 46(10): 1408-1411. DOI: 10.13898/j.cnki.issn.1000-2200.2021.10.021

    Zista通道下治疗多节段腰椎管狭窄症的疗效分析

    Efficacy analysis of the Zista channel in the treatment of multi-segment lumbar spinal stenosis

    • 摘要:
      目的 分析Zista通道下微创减压内固定治疗多节段腰椎管狭窄症(LSS)的临床疗效。
      方法收集多节段LSS病人的病历资料64例,采用传统开放式减压内固定治疗30例为开放组,Zista通道下微创减压内固定治疗34例为通道组,比较2组病人手术指标、并发症情况,以及术前、术后3月、术后2年疼痛视觉模拟(VAS)评分、日本骨科学会(JOA)评分、Oswestry腰椎功能障碍指数(ODI)以及MacNab手术满意度评价、椎间融合情况。
      结果 通道组术中出血量、住院时间均低于开放组(P < 0.01),2组手术时间、并发症发生率差异无统计学意义(P>0.05);2组术后3个月、2年VAS评分、ODI指数均低于术前,JOA评分高于术前(P < 0.05~P < 0.01),但随访期间2组各项指标差异均无统计学意义(P>0.05);2组手术满意度、椎间融合率差异无统计学意义(P>0.05)。
      结论Zista通道下微创减压内固定治疗LSS近期疼痛及功能受限改善效果良好,且较传统开放手术具有创伤小、恢复快等优势。

       

      Abstract:
      ObjectiveTo explore the clinical efficacy of minimally invasive decompression and internal fixation under the Zista channel in the treatment of multi-segment lumbar spinal stenosis(LSS).
      MethodsThe medical records of 64 patients with multi-segment LSS were collected.Thirty patients treated with traditional open decompression and internal fixation, and 34 patients treated with minimally invasive decompression and internal fixation under the Zista channel were divided into the open group and channel group, respectively.The surgical indicators, complications, preoperative and postoperative 3 months and two years pain visual simulation(VAS) score, Japanese Orthopaedic Association(JOA) score, postoperative Oswestry disability index(ODI), MacNab surgery satisfaction evaluation and intervertebral fusion were compared between two groups.
      ResultsThe intraoperative blood loss and length of hospital stay in channel group were lower than those in open group(P < 0.01), and the differences of the operation time and complications between two groups were not statistically significant(P>0.05).After 3 months and 2 years of surgery, the VAS score and ODI were significantly lower than those before surgery, and the JOA score was higher than that before surgery in two groups(P < 0.05 to P < 0.01).However, the difference of each index during the follow-up period between two groups was not statistically significant(P>0.05).The differences of the surgical satisfaction and intervertebral fusion rate between two groups was not statistically significant(P>0.05).
      ConclusionsThe minimally invasive decompression and internal fixation under the Zista channel in the treatment of LSS can improve the recent pain and limited function of LSS, and has less trauma and faster recovery compared with traditional open surgery.

       

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