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可扩张通道系统下微创经椎间孔椎体间融合术与开放手术治疗单节段腰椎滑脱症效果比较 被引量:2

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摘要 目的比较可扩张通道系统下微创经椎间孔椎体间融合术(MISS-TLIF)与开放手术治疗单节段腰椎滑脱症的效果。方法选取2017年10月-2018年10月岳阳市一人民医院脊柱外科收治的单节段腰椎滑脱症患者100例,采用随机数字表法分为观察组和对照组,每组50例。观察组患者采用可扩张通道系统下MISS-TLIF治疗,对照组患者采用常规开放手术治疗,比较2组患者手术时间、术中出血量、术后引流量、住院时间、术后1周、1年椎间隙高度和滑脱率。结果观察组患者手术时间和住院时间均短于对照组(P <0. 05),术中出血量、术后引流量均少于对照组(P <0. 05);术后1周、术后1年,2组患者椎间隙高度及滑脱率比较差异均无统计学意义(P> 0. 05)。结论可扩张通道系统下MISS-TLIF与开放手术治疗单节段腰椎滑脱症效果类似,但与开放手术相比,可扩张通道系统下MISS-TLIF治疗单节段腰椎滑脱症手术时间及住院时间短,出血量少,且创伤小,术后恢复快,可在临床推广应用。
作者 曾晖
出处 《临床合理用药杂志》 2020年第13期146-147,共2页 Chinese Journal of Clinical Rational Drug Use
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