CAJ | 학술논문

目的：比较TLIF手术经多裂肌间隙入路与传统后正中入路治疗腰椎退变性疾病的临床疗效。方法2010-01-2011-12采用TLIF手术治疗腰椎疾患65例，经多裂肌间隙入路（A组）31例，传统后正中入路（B组）34例。比较两组手术时间、切口长度、术中出血量、术后引流量、腰背痛评分（VAS）及术后恢复情况（JOA下腰痛评分）。结果两组平均手术时间、术中出血量、术后引流量比较，两组术后3个月和末次随访时VAS评分分别与术前比较，以及两组间术后3个月腰背痛VAS评分比较，差异均有统计学意义（P＜0.05）。结论经多裂肌入路TLIF手术治疗腰椎退行性疾病，手术时间短，出血少，患者恢复快，近期效果较好。
목적：비교TLIF수술경다렬기간극입로여전통후정중입로치료요추퇴변성질병적림상료효。방법2010-01-2011-12채용TLIF수술치료요추질환65례，경다렬기간극입로（A조）31례，전통후정중입로（B조）34례。비교량조수술시간、절구장도、술중출혈량、술후인류량、요배통평분（VAS）급술후회복정황（JOA하요통평분）。결과량조평균수술시간、술중출혈량、술후인류량비교，량조술후3개월화말차수방시VAS평분분별여술전비교，이급량조간술후3개월요배통VAS평분비교，차이균유통계학의의（P＜0.05）。결론경다렬기입로TLIF수술치료요추퇴행성질병，수술시간단，출혈소，환자회복쾌，근기효과교호。
Objective To compare the clinical outcome of surgical treatment for lumbar degen-erative disease by transforaminal lumbar interbody fusion (TLIF) through transmultifidus approach (group A)versus traditional approach (group B). Methods From Jan 2010 to Dec 2011,a total of 65 patients (31 cases in group A,34 cases in group B) with lumbar degenerative disease underwent TLIF. The mean operative time,length of incision,blood loss,drainage,VAS of lumbodorsal pain and JOA score were compared between the two groups. Results The mean operation time,blood loss and postoperative drainage between the two groups were significantly different(P<0.05). The VAS at 3 months after operation and last follow-up in two groups were significantly different compared with preoperation. The VAS at 3 months after operation between the two groups had statistical signifi-cant difference(P<0.05). Conclusion TLIF through transmultifidus approach has advantages of less muscle damage, less blood loss,it provides ideal short-term clinical effects and rapid postoperative recovery.