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微创与开放经椎间孔入路腰椎椎体间融合术治疗腰椎退行性疾病的疗效分析 被引量:8

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摘要 目的比较微创与开放经椎间孔入路腰椎椎体间融合术治疗腰椎退行性疾病的疗效。方法选取腰椎退行性疾病患者52例,分为微创经椎间孔椎体间融合治疗20例(微创组)和开放经椎间孔椎体间融合治疗32例(对照组);比较两组手术时间、术中出血量、术中射线照射时间、肌酸激酶(CK)浓度、术后下床活动时间及椎间融合率;比较两组术前及末次随访VAS评分及Oswestry功能障碍指数(ODI)。结果两组患者均获随访12-24个月。微创组术中出血量较对照组少(P<0.05);术后首次下床活动较对照组早(P<0.05);术后末次随访时,两组VAS评分、ODI均较术前降低,但两组间差异无统计学意义(P>0.05)。微创组术后3d血清CK浓度低于对照组(P<0.05)。两组患者椎间融合率均为100%。结论微创经椎间孔入路腰椎椎体间融合术治疗腰椎退行性疾病临床效果好,能减少手术创伤,降低术中出血量,促进患者早期康复。
作者 赵鹏 高爱国
出处 《江苏医药》 CAS 2015年第12期1433-1435,共3页 Jiangsu Medical Journal
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同被引文献66

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