微创与开放经椎间孔椎间融合术治疗腰椎不稳的疗效比较

发布时间：2018-03-03 19:50

本文选题：退变性腰椎不稳症　切入点：微创经椎间孔椎间融合术　出处：《临床骨科杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的评价Quadrant通道下经椎间孔椎间融合术(微创TLIF)与开放经椎间孔椎间融合术(开放TLIF)两种手术方式治疗退变性腰椎不稳的临床效果。方法将53例腰椎不稳症患者分别采用开放TLIF(34例)和微创TLIF(19例)治疗,比较两组的手术时间、术中失血量、术中透视时间、术后并发症以及ODI、VAS评分等指标。结果 2例失访,51例获得随访,时间3~12个月。术中失血量、并发症发生率:微创TLIF组均少于开放TLIF组(P0.05);手术时间与术中透视时间:微创TLIF组均长于开放TLIF组(P0.05);腰背痛VAS评分:微创TLIF组术后2周、12个月时低于开放TLIF组(P0.05),术后3个月时两组比较差异无统计学意义(P0.05)。ODI评分:术后2周、3个月、12个月两组比较差异均无统计学意义(P0.05)。两组在术后12个月随访时均未发生植骨不融合。结论微创TLIF是治疗腰椎不稳症的有效方法。
[Abstract]:Objective to evaluate the clinical effect of transforaminal interbody fusion (TIF) and open transforaminal interbody fusion (TIF) under Quadrant channel in the treatment of degenerative lumbar instability. Open TLIF(34 and minimally invasive TLIF(19. The operative time, intraoperative blood loss, intraoperative fluoroscopy time, postoperative complications and ODII VAS score were compared between the two groups. The incidence of complications in the minimally invasive TLIF group was less than that in the open TLIF group (P 0.05), the operative time and the intraoperative fluoroscopy time in the minimally invasive TLIF group were longer than that in the open TLIF group (P 0.05), and the VAS score of low back pain in the minimally invasive TLIF group was lower than that in the open TLIF group at 2 weeks and 12 months after operation. After 3 months, there was no significant difference between the two groups in P0.05U. ODI score: there was no significant difference between the two groups at 2 weeks, 3 months and 12 months after operation, and there was no significant difference in bone graft disfusion between the two groups at the follow-up of 12 months after operation. TLIF is an effective method for the treatment of lumbar instability.
【作者单位】：临沂市沂水中心医院脊柱外科;
【分类号】：R687.3

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