摘要
目的:探讨斜前方腰椎椎间融合术(OLIF)治疗腰椎不稳的临床效果。方法:选取100例腰椎不稳患者临床资料,将采用OLIF的50例患者研究资料纳入A组,将采用后路腰椎椎体间融合术(PLIF)的50例患者研究资料纳入B组。比较两组手术时间、术中出血量、脊柱后凸角度、疼痛程度,并观察两组融合及术后并发症情况。结果:与B组相比,A组术中出血量少,手术时间长(P<0.05);A组术后1月脊柱后凸角度较小,VAS评分较低(P<0.05);术后6个月,两组融合率差异无统计学意义(P>0.05);A组术后并发症发生率低于B组低,但差异无统计学意义(P>0.05)。结论:OLIF治疗腰椎不稳具有较高的应用价值,融合效果较好,安全性高。
Objective:To investigate the clinical effect of oblique anterior lumbar interbody fusion(OLIF)in the treatment of lumbar instability.Methods:The clinical data from 100 patients with lumbar instability were selected.Fifty patients with OLIF were included in group A and fifty patients with posterior lumbar interbody fusion(PLIF)were included in group B.The operation time,intraoperative bleeding volume,kyphosis angle and pain degree were compared between the two groups and the fusion and the postoperative complications were observed.Results:Compared with group B,group A had less intraoperative bleeding and longer operation time(P<0.05).The kyphosis angle was smaller and the VAS score was lower 1 month after operation in group A,and there were no significant differences in fusion rate between the two groups six months after operation(P<0.05).The incidence of postoperative complications was lower in group A than group B,but the differences were not statistically significant(P>0.05).Conclusion:OLIF has high application value,good fusion effect and high safety in the treatment of lumbar instability.
作者
吴建明
王卫国
徐刚
陈峰
虞致文
黄峥
WU Jianming;WANG Weiguo;XU Gang;CHEN Feng;YU Zhiwen;HUANG Zheng(Department of Orthopedics,the People’s Hospital of Yingtan,Yingtan 335000,China)
出处
《上海医药》
CAS
2021年第15期28-31,共4页
Shanghai Medical & Pharmaceutical Journal
基金
江西省卫生健康委科技计划(20202073)。
