摘要
目的比较微创经椎间孔腰椎椎体间融合术与传统后路腰椎椎体间融合术治疗腰椎退变性疾病的临床效果和并发症情况。方法回顾性分析158例腰椎退变性疾病患者的临床资料,其中83例行传统后路腰椎椎体间融合术设为对照组,余75例行微创经椎间孔腰椎椎体间融合术设为观察组;比较两组患者的治疗效果和并发症情况。结果观察组的术中出血量、术后引流量少于对照组(P<0.05);观察组术后6月的VAS评分、ODI评分、JOA评分以及椎间融合率、并发症发生率与对照组比较无显著差异(P>0.05)。结论微创经椎间孔腰椎椎体间融合术与传统后路腰椎椎体间融合术治疗腰椎退变性疾病的疗效类似,但前者手术损伤更小,出血量与引流量更少,神经损伤发生率更低,具有较高安全性。
Objective To compare the curative effect and complications of minimally invasive transforaminal lumbar interbody fusion and traditional posterior lumbar fusion in treatment of patients with lumbar degenerative disease. Methods The clinical data of 158 patients with lumbar degenerative disease,including 83 cases by using traditional posterior lumbar interbody fusion as control group,and remaining 75 cases by using minimally invasive transforaminal lumbar interbody fusion in observation group were retrospectively analyzed. The situations of therapeutic effect and complications in patients of these two groups had been compared. Results The amount of intraoperative blood loss and postoperative drainage in patients of observation group were better than those of patients in control group（ P〈0. 05）. The difference in VAS scores,ODI scores,JOA scores,rate of intervertebral fusion and incidence of complications in patients of observation group in comparison with those of control group was not significant（ P〉0. 05）. Conclusion The rates of efficay of minimally invasive transforaminal lumbar interbody fusion and traditional posterior lumbar interbody fusion in treatment of patients with lumbar degenerative disease are similar,but the former has higher safety with less invasive,less blood loss,less drainage and less complications.
出处
《临床和实验医学杂志》
2016年第8期799-801,共3页
Journal of Clinical and Experimental Medicine
基金
陕西省科技厅资助基金项目(编号:20132350)
关键词
腰椎退变性疾病
经椎间孔椎体间融合术
微创
椎间融合
并发症
Lumbar degenerative disease
Posterior lumbar interbody fusion
Minimally invasive
Interbody fusion
Complications
