| 孙凤丽,刘志新,刘然,齐颖钊.OLIF与TLIF治疗腰椎退行性疾病的近远期疗效及并发症风险比较.[J].中南医学科学杂志.,2025,(6):1093-1096. |
| OLIF与TLIF治疗腰椎退行性疾病的近远期疗效及并发症风险比较 |
| Comparison of short- and long-term outcomes and complication risks between OLIF and TLIF for degenerative lumbar diseases |
| 投稿时间：2024-11-22 修订日期：2025-05-15 |
| DOI：10.15972/j.cnki.43-1509/r.2025.06.038 |
| 中文关键词: OLIF TLIF 腰椎退行性疾变 视觉模拟评分 并发症 |
| 英文关键词:OLIF TLIF lumbar degenerative disease visual analog scale complications |
| 基金项目:秦皇岛市科学技术研究与发展计划项目(202101A152) |
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| 中文摘要: |
| 目的探讨斜外侧腰椎椎体间融合术(OLIF)与经椎间孔腰椎椎体间融合术(TLIF)治疗腰椎退行性疾病的近远期疗效及并发症风险。 方法选取93例腰椎退行性疾病患者,按照手术方式分为OLIF组47例和TLIF组46例。随访12个月,比较两组围手术期相关指标、影像学参数、腰部及下肢疼痛程度、腰椎功能、植骨融合情况,以及并发症发生情况。 结果OLIF组手术时长及住院时长短于TLIF组,术中出血量及术后引流量低于TLIF组(P＜0.05)。与术前比较,术后两组椎间孔高度、椎间隙后缘高度均随时间延长先显著升高,后轻微下降并逐渐稳定,且同时间点OLIF组高于TLIF组(P＜0.05)；两组日本骨科协会评分(JOA)均随时间延长升高,功能障碍指数(ODI)、视觉模拟评分(VAS)均随时间延长降低,且同时间点OLIF组变化较TLIF组显著(P＜0.05)。OLIF组植骨融合率高于TLIF组,但差异无显著性(P＞0.05)。OLIF组并发症总发生率低于TLIF组(P＜0.05)。 结论OLIF治疗腰椎退行性疾病的近远期疗效优于TLIF,且并发症风险更低。 |
| 英文摘要: |
| AimThis study compares the short- and long-term efficacy as well as the risk of complications between oblique lumbar interbody fusion (OLIF) and transforaminal lumbar interbody fusion (TLIF) in the treatment of lumbar degenerative diseases. MethodsA total of 93 patients with lumbar degenerative diseases were selected and divided into an OLIF group (n＝47) and a TLIF group (n＝46) based on the surgical procedure they received. Patients were followed up for 12 months. Perioperative indicators, radiographic parameters, lower back and lower limb pain levels, lumbar function, bone graft fusion status, and complication rates were compared between the two groups. ResultsThe OLIF group demonstrated significantly shorter operative time and hospital stay compared to the TLIF group, along with reduced intraoperative blood loss and postoperative drainage volume (P＜0.05). Compared to preoperative values, the foramen height and posterior disc height in both groups significantly increased initially after surgery, followed by a slight decrease and subsequent stabilization; at each corresponding time point, these parameters were higher in the OLIF group than in the TLIF group (P＜0.05). The Japanese orthopaedic association (JOA) scores increased over time in both groups, while the Oswestry disability index (ODI) and visual analog scale (VAS) scores decreased; the changes in the OLIF group were more significant than those in the TLIF group at each corresponding time point (P＜0.05). The bone graft fusion rate was higher in the OLIF group, but the difference was not statistically significant (P＞0.05). The overall complication rate was lower in the OLIF group than in the TLIF group (P＜0.05). ConclusionOLIF demonstrates superior short- and long-term efficacy compared to TLIF for treating lumbar degenerative diseases and is associated with a lower risk of complications. |
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