本文選題：后路腰椎體間融合術(shù) + 微創(chuàng)經(jīng)椎間孔椎體間融合術(shù)�。� 參考：《川北醫(yī)學(xué)院學(xué)報(bào)》2016年06期

【摘要】：目的:探討采用一個切口單側(cè)減壓加對側(cè)肌間隙入路的微創(chuàng)經(jīng)椎間孔椎體間融合術(shù)(minimal invasive transforaminal lumbarinter bodyfusion,MIS-TLIF)治療下腰椎疾患的臨床療效。方法:收集本院84例下腰椎退變疾病患者資料,其中53例采用MIS-TILF,31例采用傳統(tǒng)后路經(jīng)腰椎體間融合術(shù)(posterior lumbar interbody fusion,PLIF)。分析比較兩組手術(shù)時間、術(shù)中出血量、術(shù)中術(shù)后并發(fā)癥、術(shù)前和術(shù)后1 d肌酸激酶值、術(shù)前和末次隨訪時VAS評分及ODI評分。結(jié)果:MIS-TLIF組平均手術(shù)時間和術(shù)中出血量分別為(131.5±21.0)min、(330.6±57.6)m L;PLIF組為(148.3±27.3)min、(460.1±96.4)m L,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。MIS-TLIF組并發(fā)癥發(fā)生率及感染率顯著低于PLIF組(P0.05)。兩組在術(shù)前和術(shù)后1 d CPK值、術(shù)前VAS、ODI評分及末次隨訪ODI評分方面差異均無統(tǒng)計(jì)學(xué)意義(P0.05),但末次隨訪VAS評分MisTLIF組顯著優(yōu)于PLIF組(P0.05)。結(jié)論:應(yīng)用單側(cè)減壓加對側(cè)肌間隙入路的改良TLIF手術(shù)治療腰椎退變性疾病具有微創(chuàng)、出血少、手術(shù)時間短、并發(fā)癥低、醫(yī)患輻射少、無需特殊器械等優(yōu)點(diǎn),是一種安全有效的微創(chuàng)術(shù)式。
[Abstract]:Objective: To explore the clinical effect of minimally invasive transforaminal interbody fusion (minimal invasive transforaminal lumbarinter bodyfusion, MIS-TLIF) on the treatment of lower lumbar disease by unilateral decompression of a unilateral incision and contralateral interspace approach (MIS-TLIF). Methods: 84 cases of lower lumbar degenerative disease were collected in our hospital, of which 53 cases were used MIS-TILF, 31 cases. Using the traditional posterior lumbar interbody fusion (posterior lumbar interbody fusion, PLIF), the operation time, intraoperative bleeding, postoperative complications, preoperative and postoperative 1 D kinase value, VAS score and ODI score at preoperative and last follow-up were compared between the two groups. Results: the average operation time and the amount of intraoperative bleeding were (131) in group MIS-TLIF, respectively (131 .5 + 21) min, (330.6 + 57.6) m L, PLIF group (148.3 + 27.3) min, (460.1 + 96.4) m L, and two groups were statistically significant (P0.05).MIS-TLIF group complication rate and infection rate were significantly lower than PLIF group (P0.05). Two groups were not statistically significant before and after operation 1. 0.05), but the last follow-up VAS score in group MisTLIF was significantly better than that in group PLIF (P0.05). Conclusion: the modified TLIF operation with unilateral decompression and contralateral interspace approach is a safe and effective minimally invasive procedure for the treatment of lumbar degenerative disease with minimally invasive, less bleeding, shorter operation time, less complications, less radiation and no special equipment.
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本文編號：2028720