川北医学院学报2016，Vol.31Issue(6)：796-798,804,4.DOI:10.3969/j.issn.1005-3697.2016.06.005
后路经腰椎体间融合术的微创技术改良
Research of modified minimal invasive skills for posterior lumbar inter-body fusion
摘要
Abstract
Objective:To evaluate the clinical curative effect of minimal invasive transforaminal lumbarinter bodyfusion(MIS-TLIF)of unilateral decompression combined with contralateral muscle space approach by one incision for low lumbar disease.Meth-ods:84 patients with low lumbar disease were selected,53 cases received MIS-TLIF,and 31 cases received posterior lumbar interbody fusion(PLIF).The data including operation time,intraoperative blood loss,operative complications,CPK of pre-operation and one day post-operation,VAS scores and ODI of pre-operation and last visit were compared between two groups.Results:The mean operation time,mean intraoperative blood loss in MIS-TILF group were (131.5 ±21.0)min,(330.6 ±57.6)mL respectively;and (148.3 ± 27.3)min ,(460.1 ±96.4)mL respectively in PLIF group,the differences between the two groups were significant(P<0.05).The total incidence rate of complications and infection rate in MIS-TLIF group were significantly lower than PLIF group (P<0.05).There were no significant differences between two groups in CPK of pre-operation and one day post-operation,VAS scores of pre-operation, and ODI of pre-operation and last visit(P>0.05).However,the VAS scores at last in MIS-TLIF significantly better than these in PLIF (P<0.05).Conclusion:MIS-TLIF of unilateral decompression combined with contralateral muscle space approach by one incision for low lumbar disease has advantages of little trauma,less complication,lower bleeding,shorter operation time,lower times of X-ray radia-tion and no use of special implement.etc,is a safe and effective minimally invasive surgery.关键词
后路腰椎体间融合术/微创经椎间孔椎体间融合术/微创/肌间隙Key words
Posterior lumbar interbody fusion(PLIF)/Minimal invasive transforaminal lumbarinter bodyfu-sion(MIS-TLIF)/Minimal invasive/Muscle space分类
医药卫生引用本文复制引用
徐国康,苏棋,屠玉兰,罗金伟,陈飞..后路经腰椎体间融合术的微创技术改良[J].川北医学院学报,2016,31(6):796-798,804,4.基金项目
杭州市富阳区科技局资助项目 （）
