摘要
Abstract
Objective To investigate the clinical effect of spinal minimally invasive pathway mirror system assisted downstream TLIF surgery in the treatment of lumbar degenerative diseases.Methods Ninety-four cases of patients with lumbar degenerative diseases were selected,which were treated in hospital from May 2013 to May 2016,and they were divided into the observation group (47 cases) and control group (47 cases).The patients of observation group were treated with spinal minimally invasive pathway mirror system assisted downstream TLIF surgery,while the patients of control group were treated with open TLIF surgery.After surgery,the patients of two groups were routinely placed drainage tube,given antibiotics,dehydrating agents or hormones.The general surgical conditions,clinical effects,complications and the changes of VAS,JOA,ODI scores of two groups before and 2 weeks after operation were observed and compared.Results After the appropriate treatment,the incision length,intraoperative blood loss,postoperative drainage,VAS and ODI scores of observation group were significantly lower than those of control group,the surgery time,JOA score of observation group were significantly higher than those of control group (t =19.289,t =5.921,t =9.368,t =2.987,t =4.759,t =2.157,t =7.058;P＜ 0.05);the total effective rate was 91.5％ (43/47) in the observation group and 87.2％ (41/47) in the control group,the effect is quite similar (x2 =0.448;P ＞ 0.05);There were oral exudate,superficial infection,limb numbness,cerebrospinal fluid leakage,dural sac tear and other adverse reactions occurred in both two groups,and the incidence of complications in the observation group was lower than that in the control group (x2 =6.474;P ＜ 0.05).Conclusion Spinal minimally invasive pathway mirror system assisted downstream TLIF surgery is effective in treating lumbar degenerative diseases,which can improve lumbar dysfunction with small trauma,and improve postoperative recovery of lumbar dysfunction.关键词
脊柱微创通道镜系统/微创手术/经椎间孔腰椎椎体间融合术/腰椎退行性疾病Key words
Minimally invasive/Transforaminal lumbar interbody fusion/Lumbar degenerative disease/Efficacy
