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Curative Effect of Percutaneous Transforaminal Endoscopic Discectomy and Interbody Fusion Decompression and Internal Fixation Under Quadrant Channel in the Treatment of Lumbar Degenerative Disease and the Influence on Perioperative Period and Complications |
CUI Xianfeng, DU Jiaming, DING Xin |
Liaoyang Central Hospital, Liaoning Liaoyang 111000, China |
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Abstract Objective: To explore the therapeutic effects of percutaneous transforaminal endoscopic discectomy (PTED) and interbody fusion decompression and internal fixation under Quadrant channel in the treatment of lumbar degenerative disease, and the influence on perioperative period and complications. Methods: 150 patients with lumbar degenerative disease treated in the hospital between January 2016 and July 2020 were selected and randomly divided into observation group (76 cases) and control group (74 cases). The control group was treated with PTED, and the observation group was treated with interbody fusion decompression and internal fixation under Quadrant channel. Related parameters were compared. Results: The operation time of the observation group was longer than that of the control group (P<0.05). The postoperative drainage volume, intraoperative blood loss, length of incision, the incidences of urinary tract infection, urinary retention, intestinal obstruction and deep vein thrombosis, and the length of hospital stay in the observation group were less, shorter or lower than those in the control group (P<0.05). The visual analogue scale (VAS) scores of the observation group were lower than those of the control group on the 1st and 3rd days after operation, and at 3 months after operation (P<0.05). There was no difference at 6 months after operation (P>0.05). 3 months after operation, the low back pain score (Oswestry Disability Index, ODI) of the observation group was lower than that of the control group (P<0.05), but there was no difference at 6 months after operation (P>0.05). 3 months after operation, the generic quality of life inventory (GQOL-74) score of the observation group was higher than that of the control group (P<0.05). Conclusion: The duration of interbody fusion decompression and internal fixation under Quadrant channel is longer, but it can significantly improve the prognosis of patients with lumbar degenerative disease, reduce pain and complications, significantly improve the patients’ quality of life and lumbar function, and promote postoperative recovery.
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[1] 赵政,杨琴,杨慧敏,等.腰椎退行性病变疼痛患者恐动症现状及影响因素调查分析[J].中国卫生统计,2019,36(5):718~721. [2] 潘群龙,俞海明,陈志钦,等.腰椎退行性疾病患者骨质疏松诊疗情况[J].中国骨质疏松杂志,2020,26(12):110~114. [3] 杨虎,李鹂飞,贾楠,等.四种手术入路行椎间孔镜髓核摘除术治疗巨大型腰椎间盘突出的比较研究[J].中国修复重建外科杂志,2020,34(3):300~307. [4] 滕海军,郭志良,鲁海江,等.Quadrant通道下微创治疗军人腰椎峡部不连并滑脱的疗效观察[J].中国矫形外科杂志,2018,26(3):275~278. [5] Jensen MP,Chen C.Brugger AM.Interpretation of visual analog scale ratings and change scores:a reanalysis of two clinical trials of postoperative pain[J].Pain,2003,4(7):407~414. [6] Fairbank JC,Pynsent PB.The Oswestry disability index[J].Spine,2000,25(22):2940~2952. [7] 张作记.《行为医学量表手册》[M].中华医学电子音像出版社,2005.83~89. [8] 楚超,苏洪民,韩哲,等.类风湿关节炎合并腰椎滑脱后路减压融合内固定围手术期失血分析[J].中华医学杂志,2021,101(11):792~797. [9] 文杰,杨阳,张辉,等.Quadrant通道下的MIS-TLIF治疗Ⅰ、Ⅱ度退行性腰椎滑脱的疗效研究[J].中国骨伤,2019,32(3):199~206. [10] 黄群,盛晓磊,严飞,等.Quadrant通道下经椎间孔微创置入椎体间融合器治疗腰椎退行性疾病[J].中国组织工程研究,2019,23(36):5818~5823. [11] 丁浚哲,鲁世保,孔超.高龄腰椎退行性疾病手术治疗的临床疗效和并发症研究进展[J].中国脊柱脊髓杂志,2018,28(12):1137~1142. |
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