刘鑫 1孙兆忠 1李瑞 1任佳彬 1郑振阳 1李璐1
作者信息
- 1. 滨州医学院附属医院脊柱外科 滨州 256603
- 折叠
摘要
Abstract
Objective To explore and comparison the trauma responses of the lumbar fusion between oblique vertebral body (OLIF) and traditional PLIF technique for the treatment of lumbar olisthe disease.Methods Fifty-two patients were enrolled by the entry criteria between August 2014 and February 2015 in our hospital,and were assigned to using the oblique vertebral fusion between (OLIF group,n=17) and posterior lumbar interbody fusion (PLIF,n=35).The length of skin incision,intra-operative blood loss,and post-operative hospital stay were recorded,as well as the serum levels of C-reactive protein (CRP) and creatine kinase(CK)were measured before and the same time after operation.The pain severity of incision in postoperative 1 d, 2 d, 3 d was evaluated by visual analog scale (VAS).And at the same time to evaluate lumbocrural painpre of operative and postoperative 1 d, 2 d, 3 d.Results There was no statistically significant difference in the general information in both groups (P>0.05),after analysis,the lumbocrural pain VAS score of the two groups were lower than the preoperative and postoperative,there was no significant difference between the two groups (P>0.05),but in the incision length,intra-operative blood loss,hospital stay in,patients in group A were lower than group B,there are statistically significant difference (P<0.05).The serum levels of CRP and CK were measured 12 h,24 h and 48 h of after operative in group A were lower than group B, with statistical significance (P<0.05).Two groups of postoperative 1~3 d incision pain VAS score were falling,the postoperative 1~3 d VAS score between the group A and B were differences,and A significantly lower than B.they were statistically significant (P<0.05).Conclusion Two groups of surgical way to treat lumbar olisthe disease all can obtain satisfactory curative effect.But OLIF surgery not only can ensure the curative effect,also have the advantage of less bleeding,local symptom is light,quick recovery, cause tissue damage and system traumatic stress reaction is lighter.关键词
腰椎滑脱症/腰椎斜外侧椎体间融合术/腰椎后路椎体间融合术/创伤反应Key words
spondylolithesis/OLIF/PLIF/stress response分类
医药卫生
