通过双双门内内透视透视形腰椎间体融合改善了临床和放射性结果:基于CT的比较研究
1Department of Orthopedic Surgery, Far Eastern Memorial Hospital, New Taipei City 22060, Taiwan.
Diagnostics (Basel, Switzerland)
|October 29, 2025
概括
与管状最小侵入性TLIF (MISTLIF) 相比,双门内镜TLIF (BETLIF) 提供了更好的结果. 贝特利夫导致了更好的融合率,减少了并发症,改善了患者的功能.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 最少的侵入性技术是最小的侵入性技术.
- 融合学的融合学
背景情况:
- 最少侵入性脊柱融合技术旨在改善结果并减少并发症.
- 管状微侵袭型跨膜腰椎体间融合 (MISTLIF) 在可视化和端板准备方面存在局限性.
- 双门内镜TLIF (BETLIF) 提供了增强的可视化和静血,但比较的融合数据是有限的.
研究的目的:
- 为了比较MISTLIF和BETLIF之间的临床和放射性结果.
- 在从MISTLIF过渡到BETLIF后,使用薄切片CT评估聚变完整性.
- 评估手术技术对患者康复和长期结果的影响.
主要方法:
- 对179名接受MISTLIF (n=90) 或BETLIF (n=89) 治疗的患者进行了回顾性分析.
- 临床结果通过视觉模拟量表 (VAS),奥斯威斯特残疾指数 (ODI) 和日本骨科协会 (JOA) 评分进行评估.
- 术后1年进行的放射性评估包括磁盘高度,位,融合度,沉降和骨解通过X射线和薄切片CT.
主要成果:
- 在BETLIF组,住院时间较短,没有输血,而在MISTLIF组,这一比例为14.7%.
- 贝特利夫的ODI和JOA得分显著提高,VAS得分也有所改善.
- 贝特利夫的融合率更高 (93.3%与82.4%相比),圆盘高度更高,子沉降和骨解率更低.
结论:
- 与MISTLIF相比,BETLIF与优越的临床和放射性结果有关.
- 在BETLIF中,增强的内镜可视化和精确的末板制备可能有助于改善融合.
- 贝特利夫 (BETLIF) 代表了微创脊柱融合手术的一个有前途的进步.
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