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[1]郑 武,徐 杰,肖毓华.显微镜辅助通道下微创与开放经椎间孔腰椎椎间融合术治疗腰椎间盘突出症的疗效比较[J].福建医科大学学报,2019,53(03):183-186.
 ZHENG Wu,XU Jie,XIAO Yuhua.Microscopic-assisted Minimally Invasive and Open Transforaminal Lumbar Lnterbody Fusion for Lumbar Disc Herniation[J].Journal of Fujian Medical University,2019,53(03):183-186.
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显微镜辅助通道下微创与开放经椎间孔腰椎椎间融合术治疗腰椎间盘突出症的疗效比较(PDF)
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《福建医科大学学报》[ISSN:1672-4194/CN:35-1192/R]

卷:
第53卷
期数:
2019年03期
页码:
183-186
栏目:
临床研究
出版日期:
2019-06-30

文章信息/Info

Title:
Microscopic-assisted Minimally Invasive and Open Transforaminal Lumbar Lnterbody Fusion for Lumbar Disc Herniation
文章编号:
1672-4194(2019)03-0183-04
作者:
郑 武 徐 杰 肖毓华
福建医科大学 省立临床医学院,福建省立医院 骨二科,福州 350001
Author(s):
ZHENG Wu XU Jie XIAO Yuhua
Second Department of Orthopaedics,Fujian Provincial Hospital,Provincial Clinic College of Fujian Medical University, Fuzhou 350001, China
关键词:
显微镜检查 外科手术 微创性 腰椎 脊柱 脊柱融合术 椎间盘移位
Keywords:
microscopy surgical procedures minimally invasive lumbar vertebrae spine spinal fusion intervertebral disk displacement
分类号:
R323.4; R681.5
DOI:
-
文献标志码:
A
摘要:
目的 比较显微镜辅助通道下微创与开放经椎间孔腰椎椎间融合术治疗腰椎间盘突出症的临床疗效。 方法 将80例腰椎间盘突出症患者按手术方式分组:41例行显微镜辅助通道下微创经椎间孔腰椎椎间融合术治疗(MIS-TLIF组),39例行开放经椎间孔腰椎椎间融合术治疗(Open-TLIF组)。比较两组患者的术中出血量、手术时间及术后住院天数。采用ODI评分和VAS评分评价两组患者手术后的临床效果。采用Suk标准评价椎间融合情况。 结果 MIS-TLIF组患者的术中出血量少于Open-TLIF组(P<0.05); 两组的手术时间及术后住院天数比较,差别无统计学意义(P>0.05)。两组术后的ODI评分和VAS评分均优于术前(P<0.05),术后6周及术后3月MIS-TLIF组的ODI评分及VAS评分均优于Open-TLIF组(P<0.05)。Open-TLIF组1例出现切口浅表感染,MIS-TLIF组无感染等并发症发生。末次随访所有患者手术节段均完全融合。 结论 显微镜辅助通道下MIS-TLIF术治疗腰椎间盘突出症手术创伤小、术中出血少、术后早期康复佳、临床疗效良好且安全可靠。
Abstract:
Objective To compare the clinical outcomes of microscopic-assisted minimally invasive transforaminal lumbar interbody fusion with open transforaminal lumbar interbody fusion for lumbar disc herniation. Methods 80 patients with lumbar disc herniation were retrospectively reviewed. All the patients were divided into 2 groups according to the surgical method: 41 patients underwent minimally invasive transforaminal lumbar interbody fusion assisted with microscope and channel(MIS-TLIF group), and 39 patients underwent open transforaminal lumbar interbody fusion(Open-TLIF group). The amount of the intraoperative blood loss, operation time and postoperative hospital stays were compared between the two groups. The clinical results of the two groups were evaluated by ODI and VAS scores. The lumbar interbody fusion was assessed by the Suk’s method. Results The intraoperative blood loss in MIS-TLIF group was significantly less than those in the Open-TLIF group(P<0.05), but there was no significant difference in the operation time and the postoperative hospital stays between the 2 groups(P>0.05). The postoperative ODI and VAS score at each follow up point were significantly improved when compared with preoperative ones in 2 groups(P<0.05). The ODI and the VAS score of MIS-TLIF group were significantly better than those of Open-TLIF group at 6 weeks and 3 months(P<0.05). Superficial infection of incision occurred in 1 case in the Open-TLIF group. There were no complications such as infection in the MIS-TLIF group. All of the patients had complete fusion of the segmental vertebral at the last follow up. Conclusion Minimally invasive transforaminal lumbar interbody fusion assisted with microscope and channel is effective, safe and reliable for the treatment of lumbar disc herniation, with less injury, less blood loss and early postoperative recovery.

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备注/Memo

备注/Memo:
收稿日期: 2018-04-10作者简介: 郑 武,男,主治医师,医学硕士. Email:zhengwu84@126.com
更新日期/Last Update: 2019-06-30