摘要
目的探讨采用微创改良经腰椎间孔椎体间融合（TLIF）联合单侧钉棒系统固定治疗极外侧型腰椎间盘突出症的临床疗效。方法将38例极外侧型腰椎间盘突出症患者按随机数字表法分为微创改良TLIF联合单侧钉棒系统固定组（观察组）和常规开放TLIF组（对照组），每组19例，比较两组手术疗效。结果两组患者均顺利完成手术，未发生围手术期并发症。观察组出血量和住院时间明显少于对照组[（152±82）ml比（258±104）ml和（6．5±2．3）d比（12．7±3．6）d]，骨融合率和术后6个月日本矫形外科协会评分明显高于对照组[18／19比10／19和（14．5±2．1）分比（12．6±1．9）分]，差异均有统计学意义（P〈0．01）；两组术后并发症发生率比较差异无统计学意义（P〉0．05）。结论微创改良TuF联合单侧钉棒系统固定治疗极外侧型腰椎间盘突出症具有出血量少、住院时间短、疗效安全可靠等优点。
Objective To investigate the therapeutic efficacy of minimally invasive modified transforaminal lumbar interbody fusion （TLIF） combined with unilateral nail holding system in patients with extreme lateral lumbar disc herniation. Methods Thirty-eight patients with extreme lateral lumbar disc herniation were divided into minimally invasive modified TLIF combined with unilateral nail holding system group （observation group） and conventional open TLIF group （control group） with 19 cases each according to random digital table method. The therapeutic efficacy was compared between 2 groups. Results Surgery was completed successfully in 2 groups, and there was no perioperative complications. The amount of bleeding and hospital stay length in observation group were significantly less than those in control group： （152 ± 82） ml vs. （258 ± 104） ml and （6.5 ± 2.3） d vs. （12.7 ± 3.6） d, and the rate of fusion and score of Japan Orthopaedic Association 6 months after surgery in observation group were significantly higher than those in control group： 18/19 vs. 10/19 and （14.5 ± 2.1） scores vs. （12.6 ± 1.9） scores. There were statistical differences （P 〈 0.01）. There was no statistical difference in complications between 2 groups （P 〉 0.05）. Conclusion Minimally invasive modified TLIF combined with unilateral nail holding system in patients with extreme lateral lumbar disc herniation has less blood loss and shorter hospital stay, and it is effective and safe.
出处
《中国医师进修杂志》
2015年第12期905-908,共4页
Chinese Journal of Postgraduates of Medicine
关键词
椎间盘移位
脊柱融合术
单侧钉棒系统
Intervertebral disk displacement
Spinal fusion
Unilateral nail holding system
