摘要
目的:评估MastQuadrant可扩张通道下治疗多节段腰椎疾病(包括腰椎间盘突出椎管狭窄症,腰椎滑脱)的临床效果。方法:2014-01～2016-01本院52例腰椎疾病患者随机分成2组,其中26例接受MastQuadrant可扩张管通道微创手术系统辅助下椎管减压植骨融合内固定术,26例接受开放手术。结果:采用χ2检验,微创组和开放组手术时间分别175～260min和176～228min,平均200.69min和197.31min; 2组比较差异无统计学意义。术中出血量分别为390～1500mL和590～1850mL,平均611.35mL和1106.92mL,2组比较差异有统计学意义(P<0.05)。术后随访时间平均值为7.2月。利用改良M acnab标准在末次随访时对患者临床疗效进行评估,微创组优良率为73.08%,开放组优良率为80.77%,两者比较差异无统计学意义。结论:与传统开放手术相比,MastQuadrant可扩张管通道下治疗多节段腰椎可以获得同样的临床疗效,且具有手术时间短、出血少、创伤小和恢复快等优点。
Objective:To evaluate the clinical effect of minimally invasive window decompression assisted by Mast Quadrant system in treatment of multiple segmental lumbar disease.Methods:From January 2014 to January 2016,a total number of 52 patients with lumbar spinal stenosis were divided into 2 groups randomly.26 cases in Group I underwent minimally invasive window decompression assisted by the Mast Quadrant system and 26 cases in Group II underwent window decompression with regular open incision.Results:In Group I,operation time was 175~260 mins(200.69 mins in average)and blood loss was 390~1500mL(611.35mL in average).In Group II,operation time was 176~228 mins(197.31 mins in average),and blood loss was 590~1850mL(1106.92mL in average).All patients were followed up and the mean postoperative follow-up time was 7.2 months.Clinical outcomes were evaluated with the modified M acNab criteria.The excellent and good rate was 73.08%in Group I and 80.77%in Group II.Conclusion:Compared to regular open way,minimally invasive window decompression assisted by MastQuadrant system for the management of lumbar spinal stenosis has the similar clinical outcomes.However,it has the advantage of less operation time,less blood,less trauma and quicker recovery.
作者
孙月钊
强晓军
SUN Yue-zhao;QIANG Xiao-jun(Puyang Oilfield General Hospital,Puyang 473000,China)
出处
《黑龙江医药科学》
2018年第6期62-64,57,共4页
Heilongjiang Medicine and Pharmacy
关键词
腰椎
多节段
椎管狭窄
腰椎间盘突出症
腰椎滑脱
微创性
椎间融合内固定术
lumbar vertebrae
multi levels
spinal stenosis
lumbar disc herniation
lumbar spondylolisthesis
minimally invasive
internal fusion and internal fixation
