摘要
目的:总结经椎间孔椎体间融合术(TLIF)与经后路椎体间融合术(PLIF)治疗老年退变性腰椎滑脱并椎管狭窄症的临床疗效。方法:收集2016年3月-2018年3月我院收治的退变性腰椎滑脱并椎管狭窄症老年患者73例临床资料,随机分对照组36例执行PLIF治疗,分析组37例予以TLIF治疗,比较两组手术情况、椎间融合优良率。结果:分析组椎间融合优良率94.59%明显高于对照组63.89%(P <0.05);分析组手术时间明显短于对照组,且术中出血量、术后引流量明显少于对照组(P <0.05)。结论:相较于经后路椎体间融合术,经椎间孔椎体间融合术治疗老年退变性腰椎滑脱并椎管狭窄症疗效更优,值得临床推广应用。
Objective: To summarize the clinical effects of transforaminal lumbar interbody fusion (TLIF) and posterior interbody fusion (PLIF) in the treatment of degenerative lumbar spondylolisthesis and spinal stenosis in the elderly. Methods: Clinical data of 73 elderly patients with degenerative lumbar spondylolisthesis and spinal stenosis treated in our hospital from March 2016 to March 2018 were collected and randomly assigned to 36 patients in the control group for PLIF and 37 patients in the analysis group were treated with TLIF. The operation conditions of the two groups and the excellent rate of interbody fusion were compared. Results: The excellent rate of interbody fusion was 94.59% in the analysis group, which was significantly higher than that in the control group (63.89%)(P<0.05). The operation time of the analysis group was significantly shorter than that of the control group, and the intraoperative blood loss and postoperative drainage of the analysis group were significantly less than those of the control group (P<0.05). Conclusion: Compared with posterior lumbar interbody fusion, transforaminal lumbar interbody fusion was superior for degenerative lumbar spondylolisthesis and spinal stenosis. It was worthy of clinical application.
作者
高雪伟
陈旺
朱凌
Gao Xuewei;Chen Wang;Zhu Ling
出处
《中医临床研究》
2019年第3期115-117,共3页
Clinical Journal Of Chinese Medicine
关键词
经椎间孔椎体间融合术
退变性腰椎滑脱
Transforaminal interbody fusion
Degenerative lumbar spondylolisthesis
