Sun Quan, Wang Lei, Ma Jun, He Fei, Wei Dongyu, Si Chunming
Department of Orthopaedic Center, Xinjiang Production and Construction Corps Hospital, Urumqi, China.
Front Med (Lausanne). 2025 Jul 10;12:1615699. doi: 10.3389/fmed.2025.1615699. eCollection 2025.
To explore the effect of unilateral biportal minimally invasive surgery in the treatment of patients with spinal degenerative diseases based on intelligent multimodal reconstruction technology.
A total of 100 patients with spinal degenerative diseases treated with unilateral biportal endoscopy during 2023-2024 in Orthopedics Center of our hospital were selected as research objects. Patients using intelligent multi-modal reconstruction technology were included as observation group, and patients not using intelligent multi-modal reconstruction technology were included as control group. The length of hospital stay, operation time, intraoperative blood loss, postoperative drainage volume, total blood loss, hidden blood loss, hematocrit, hemoglobin level, incidence of complications, degree of pain and lumbar function were assessed.
Compared to the control group, the observation group had shorter operation time, shorter length of hospital stay, less intraoperative blood loss, less postoperative drainage volume, less total blood loss, less hidden blood loss, higher hematocrit and higher hemoglobin level ( < 0.01). Relative to the control group, the observation group had lower incidence of complications ( < 0.05). Compared with 1 day after surgery, the Visual Analog Scale score and Oswestry Disability Index score in both groups were gradually declined at 5, 10, and 15 days after surgery ( < 0.05). Relative to the control group, the observation group had lower Visual Analog Scale score and Oswestry Disability Index score at 5, 10, and 15 days after surgery ( < 0.05). Compared with 1 day after surgery, the Japanese Orthopaedic Association score in both groups was gradually elevated at 5, 10, and 15 days after surgery ( < 0.05). Relative to the control group, the observation group had higher Japanese Orthopaedic Association score at 5, 10, and 15 days after surgery ( < 0.05). Compared with 1 month after surgery, the Visual Analog Scale score and Oswestry Disability Index score were gradually decreased while the Japanese Orthopaedic Association score was gradually elevated in both groups 3, 6 and 12 months after surgery ( < 0.05). Relative to the control group, the observation group had lower Visual Analog Scale score and Oswestry Disability Index score as well as higher Japanese Orthopaedic Association score 1, 3, 6 and 12 months after surgery ( < 0.05).
Unilateral biportal minimally invasive surgery based on intelligent multimodal reconstruction technology can accelerate the body recovery, reduce the incidence of complications, reduce the degree of pain and improve the lumbar function in the treatment of patients with spinal degenerative diseases.
基于智能多模态重建技术探讨单侧双通道微创手术治疗脊柱退行性疾病患者的效果。
选取2023年至2024年在我院骨科中心接受单侧双通道内镜治疗的100例脊柱退行性疾病患者作为研究对象。采用智能多模态重建技术的患者纳入观察组，未采用智能多模态重建技术的患者纳入对照组。评估两组患者的住院时间、手术时间、术中出血量、术后引流量、总出血量、隐性出血量、血细胞比容、血红蛋白水平、并发症发生率、疼痛程度及腰椎功能。
与对照组相比，观察组手术时间更短、住院时间更短、术中出血量更少、术后引流量更少、总出血量更少、隐性出血量更少、血细胞比容更高、血红蛋白水平更高（P<0.01）。与对照组相比，观察组并发症发生率更低（P<0.05）。与术后1天相比，两组患者术后5、10和15天的视觉模拟评分（Visual Analog Scale，VAS）和Oswestry功能障碍指数评分均逐渐下降（P<0.05）。与对照组相比，观察组术后5、10和15天的VAS评分和Oswestry功能障碍指数评分更低（P<0.05）。与术后1天相比，两组患者术后5、10和15天的日本骨科学会（Japanese Orthopaedic Association，JOA）评分均逐渐升高（P<0.05）。与对照组相比，观察组术后5、10和15天的JOA评分更高（P<0.05）。与术后1个月相比，两组患者术后3、6和12个月的VAS评分和Oswestry功能障碍指数评分逐渐降低，而JOA评分逐渐升高（P<0.05）。与对照组相比，观察组术后1、3、6和12个月的VAS评分和Oswestry功能障碍指数评分更低，JOA评分更高（P<0.05）。
基于智能多模态重建技术的单侧双通道微创手术在治疗脊柱退行性疾病患者时可加速身体恢复，降低并发症发生率，减轻疼痛程度并改善腰椎功能。
