Zhang Jia-Jun, Zhou Chuan-Li, Sun Chong, Xu De-Rong, Bao Mei, Liu Yong
Department of Spine Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
Department of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
Int J Gen Med. 2021 Jun 10;14:2437-2447. doi: 10.2147/IJGM.S309272. eCollection 2021.
To compare the therapeutic effect of the quadrant channel and delta large channel techniques in lumbar degenerative diseases.
According to the inclusion criteria, 62 patients suffering from lumbar degenerative disease were selected for the present study, which was conducted from September 2018 to June 2020. Patients were divided into Group A (quadrant channel technology) and Group B (delta large channel technology), which comprised 28 and 34 patients, respectively. The factors compared between the two groups were operation time, length of incision, blood loss, ambulation time, length of hospitalization, visual analogue scale (VAS) preoperatively, 7 days postoperatively, and 30 days postoperatively, and Oswestry dysfunction score (ODI).
The length of incision, blood loss, ambulation time, and length of hospitalization stay in Group A were significantly higher compared with Group B (P < 0.05). There was no significant difference between the two groups in operation time, preoperative ODI index, preoperative VAS scores, and thirty-day postoperative VAS scores (P > 0.05). The seven-day postoperative VAS score, seven-day postoperative ODI index, and thirty-day postoperative ODI index of Group A were significantly higher than those of Group B (P < 0.05). The preoperative VAS score and ODI index in both groups were significantly higher compared with after operation (P < 0.05).
Both surgical methods achieved a good clinical outcome in the treatment of lumbar degenerative diseases. The delta large channel technique may offer some advantages over quadrant channel technology, such as less trauma and bleeding and faster recovery time.
比较象限通道技术和三角大通道技术治疗腰椎退行性疾病的疗效。
根据纳入标准，选取2018年9月至2020年6月期间62例腰椎退行性疾病患者进行本研究。患者分为A组（象限通道技术）和B组（三角大通道技术），分别有28例和34例患者。比较两组之间的因素包括手术时间、切口长度、失血量、下床活动时间、住院时间、术前、术后7天和术后30天的视觉模拟评分（VAS）以及Oswestry功能障碍评分（ODI）。
A组的切口长度、失血量、下床活动时间和住院时间均显著高于B组（P < 0.05）。两组在手术时间、术前ODI指数、术前VAS评分和术后30天VAS评分方面无显著差异（P > 0.05）。A组术后7天VAS评分、术后7天ODI指数和术后30天ODI指数均显著高于B组（P < 0.05）。两组术前VAS评分和ODI指数均显著高于术后（P < 0.05）。
两种手术方法在治疗腰椎退行性疾病方面均取得了良好的临床效果。三角大通道技术相较于象限通道技术可能具有一些优势，如创伤小、出血少、恢复时间快。
