临床骨科杂志Issue(4)：406-409,4.DOI:10.3969/j.issn.1008-0287.2015.04.007
微创经椎间孔腰椎体间融合术治疗复发性腰椎间盘突出症
Minimally invasive transforaminal lumbar interbody fusion for recurrent lumbar disc hernia- tion
摘要
Abstract
Objective To investigate the clinical outcome of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for recurrent lumbar disc herniation (RLDH) under microscope. Methods 20 cases suffering from RLDH were retrospectively treated by MIS-TLIF ( including L4~5 in 12 cases, L5 ~S1 in 8 cases) . Operative time, the intraoperative blood loss, the postoperative drainage, the postoperative ambulation time, the hospitalization time were recorded. VAS scores and ODI were used to evaluate the clinical outcomes. Results Only one patient had du-ral laceration during the operation and no leakage of cerebrospinal fluid or nerve injury was noted for the rest patients. The operative time was range 80~140 ( 104. 7 ± 14. 9 ) min, the operative blood loss was range 60 ~420 ( 202. 5 ± 86. 7) ml,the postoperative drainage volume was 60~160(93. 2 ± 29. 6)ml, the postoperative ambulation time was range 20~48 (34.3 ±8.3) h, and the hospitalization time was range 3~7(4.8 ±1.2)d. The follow-up time was range 12~24(17. 0 ± 3. 6)months. Postoperative 5 days,3months,1year, pain VAS of lumbar and legs and ODI scores were significantly improved compared with the preoperative, the difference was statistically significant ( P <0. 05). Conclusions MIS-TLIF is a safe and effective procedure for treatment of RLDH, which has less invasion and less bleeding.关键词
复发性腰椎间盘突出症/外科手术,微创性/经椎间孔腰椎体间融合术Key words
recurrent lumbar disc herniation/surgical procedures,minimally invasive/transforaminal lumbar inter-body fusion分类
医药卫生引用本文复制引用
蔡海平,张文志,段丽群,李旭,张锋..微创经椎间孔腰椎体间融合术治疗复发性腰椎间盘突出症[J].临床骨科杂志,2015,(4):406-409,4.基金项目
2013安徽省年度重点科研项目(编号:1301043029) （编号:1301043029）
