MIS-TLIF与TLIF治疗2节段腰椎管狭窄症的近期疗效比较被引量：8

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摘要目的探讨经椎间孔椎间植骨融合术(minimally invasive surgery-transforaminal lumbar interbody fusion,MIS-TLIF)与开放经椎间孔腰椎椎体间融合术(transforaminal lumbar imerbody fusion,TLIF)治疗2节段腰椎管狭窄症的近期疗效。方法研究我院2017年1月至2017年10月治疗的2节段腰椎管狭窄症患者32例,按手术方法分MIS-TLIF组和TLIF组。比较两组术前一般资料、手术时间、术中出血量、术后引流量、术后住院时间及术后并发症情况,疗效应用疼痛视觉模拟评分(visual analogue scale,VAS)、Oswestry功能障碍指数(oswestry disability index,ODI)评估。结果两组术前一般资料相比,差异无统计学意义(P>0.05);手术时间MIS-TLIF组平均(355.8±77.1)min,TLIF组平均(310.3±42.5)min,差异无统计学意义(P>0.05);MIS-TLIF组较TLIF组术中出血量少、切口引流量少、术后住院时间短(P<0.05);两组术后VAS、ODI评分较术前改善(P<0.05),MIS-TLIF组术后3 d VAS评分低于TLIF组(P<0.05),但术后1个月、3个月时,两组比较差异无统计学意义(P>0.05);两组术后1个月、3个月时ODI评分比较,差异无统计学意义(P>0.05)。结论MIS-TLIF治疗2节段腰椎管狭窄症可以达到与TLIF相同的近期疗效。

作者王宪峰江剑罗志成王宏

机构地区贵州省骨科医院骨外科大连医科大学附属第一医院脊柱外科

出处《实用骨科杂志》 2019年第7期632-635,共4页 Journal of Practical Orthopaedics

关键词微创经椎间孔腰椎椎间融合术腰椎管狭窄症

分类号 R681.5 [医药卫生—骨科学]

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