三维CT导航辅助下经椎间孔椎体间融合术治疗腰椎间盘突出症的临床疗效及安全性

发布时间：2018-03-31 05:38

本文选题：腰椎间盘突出症　切入点：椎间融合　出处：《山东医药》2017年17期

【摘要】：目的评价三维CT导航辅助下微创经椎间孔椎体间融合术(i CT-MIS-TLIF)治疗单节段腰椎间盘突出症的临床疗效及安全性。方法选取单节段腰椎间盘突出症患者48例,随机分为观察组和对照组各24例。观察组采用i CT-MIS-TLIF,对照组采用微创经椎间孔腰椎椎体间融合术(MIS-TLIF)。记录两组术中出血量、术中透视次数、手术时间、术后引流量、术后住院时间,采用VAS评价术前、出院前、术后3个月腰背疼痛情况,术后1年进行腰椎正侧位X线及CT三维重建检查观察两组椎间植骨融合情况。结果与对照组比较,观察组术后引流量、术中出血量、术中透视次数减少,手术时间、术后住院时间缩短,术后腰背疼痛VAS减小,差异均有统计学意义(P均0.05)。两组椎间融合率比较无统计学差异(P0.05)。结论 i CT-MIS-TLIF治疗腰椎间盘突出症临床疗效满意,且能减少医务人员的放射暴露辐射,具有较高的安全性。
[Abstract]:Objective to evaluate the clinical efficacy and safety of minimally invasive transforaminal interbody fusion under three-dimensional CT guidance in the treatment of single segment lumbar disc herniation. Methods 48 patients with single segment lumbar disc herniation were selected. Two groups were randomly divided into observation group (n = 24) and control group (n = 24). The observation group was treated with I CT-MIS-TLIFA and the control group was treated with minimally invasive intervertebral fusion through intervertebral foramen. The amount of blood lost during operation, the times of fluoroscopy, the time of operation, the drainage flow after operation, and the postoperative hospitalization time were recorded. VAS was used to evaluate the lumbar back pain before discharge and 3 months after operation. X-ray and CT 3D reconstruction of lumbar vertebrae were performed one year after operation to observe the fusion of bone graft between the two groups. Results compared with the control group, the postoperative drainage was observed in the observation group. The amount of blood lost during operation, the times of fluoroscopy, the time of operation, the time of hospitalization and the VAS of lumbar and back pain were decreased. The difference was statistically significant (P < 0.05). There was no significant difference in the rate of intervertebral fusion between the two groups. Conclusion I CT-MIS-TLIF has satisfactory clinical efficacy in the treatment of lumbar disc herniation, and it can reduce the radiation exposure of medical personnel and has high safety.
【作者单位】：芜湖市第二人民医院;
【分类号】：R687.3

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