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微创经椎间孔椎体间融合术与开放手术治疗腰椎滑脱症临床分析

徐晖 肖立军 陈文贵

河北医学2013,Vol.19Issue(1):48-51,4.
河北医学2013,Vol.19Issue(1):48-51,4.DOI:10.3969/j.issn.1006-6233.2013.01.018

微创经椎间孔椎体间融合术与开放手术治疗腰椎滑脱症临床分析

Minimally Invasive Percutaneous Transforaminal Lumbar Interbody Fusion and Open Operation for Treatment of Lumbar Spondylolisthesis Clinical Analysis

徐晖 1肖立军 1陈文贵1

作者信息

  • 1. 广东省番禺市中心医院骨科,广东,番禺,511400
  • 折叠

摘要

Abstract

Objective: To analyze minimally invasive transforaminal lumbar interbody fusion with open surgery in the treatment of lumbar spondylolisthesis method and clinical results. Method: A retrospective a-nalysis of 96 cases of spondylolisthesis patients admitted to our hospital from January 2006 to December 2008, who were randomly divided into two groups, the experimental group patients implement minimally invasive transforaminal lumbar interbody fusion and lumbar fixation treatment; conventional open surgery with lumbar fixation for the treatment of patients of the control group, the postoperative follow-up, statistical analysis of two groups of patients, operative time, intraoperative blood loss, postoperative complications and so on. According to a visual analogue scale of pain before and after surgery( VAS ) and the oswestry disability index to evaluate the clinical efficacy, the detection of X-ray CT scan reconstruction detect and lumbar power for interbody fusion patients. Result: Through all patients 6 to 12 months of follow-up investigation which found that patients in the experimental group and the postoperative bleeding volume was less than the control group and has a significant difference, P <0. 05 , two groups of patients with functional disorders index before surgery, after surgery declined obviously, the two groups exist significant differences, the experimental group patients dysfunction index was significantly less than the control group, In addition, the operation time of the two groups were compared, the experimental group operative time was significantly longer. Conclusion: After a statistical analysis of the experimental data for all patients, It shows that the minimally invasive treatment of spondylolisthesis by transforaminal lumbar interbody fusion surgery with less bleeding, less pain, rapid recovery, etc. , worthy of clinical widespread.

关键词

微创经椎间孔椎体间融合术/开放性手术/腰椎滑脱症

Key words

Minimally invasive transforaminal interbody fusion/Open operation/Lumbar spondylolisthesis

引用本文复制引用

徐晖,肖立军,陈文贵..微创经椎间孔椎体间融合术与开放手术治疗腰椎滑脱症临床分析[J].河北医学,2013,19(1):48-51,4.

河北医学

OACSTPCD

1006-6233

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