中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
12期
1326-1330
,共5页
徐宏兵%王英明%孙常太%张华俦%薛庆云%杨述华
徐宏兵%王英明%孫常太%張華儔%薛慶雲%楊述華
서굉병%왕영명%손상태%장화주%설경운%양술화
椎管狭窄%脊柱融合术
椎管狹窄%脊柱融閤術
추관협착%척주융합술
Spinal stenosis%Spinal fusion
目的 比较腰椎后外侧植骨融合(PLF)、椎间植骨融合(PLIF)治疗老年腰椎管狭窄症患者效果. 方法 回顾1996年1月至2011年12月卫生部北京医院骨科收治的行PLF和行PLIF的腰椎退变性疾病的患者313例;PLF组116例,PLIF组197例.分析融合情况、手术时间、术中失血量及并发症情况. 结果 PLF组的融合率为84.5％,PLIF组的融合率为98.0％.PLF组手术时间为120～480 min,平均247.8 min;PLIF组手术时间为90～600 min,平均240.6 min.PLF组手术中出血量为200～4500 ml,平均1142.9 ml;PLIF组手术出血量为200～2800 ml,平均927.0ml.PLF组术后并发症32.8％(38例);PLIF组术后并发症1 8.3％(36例).两组术后融合情况、手术时间、术中失血量、术后并发症差异有统计学意义(P＜0.05). 结论 PLIF对老年患者植骨融合率以及植骨融合等级上均优于PLF.
目的 比較腰椎後外側植骨融閤(PLF)、椎間植骨融閤(PLIF)治療老年腰椎管狹窄癥患者效果. 方法 迴顧1996年1月至2011年12月衛生部北京醫院骨科收治的行PLF和行PLIF的腰椎退變性疾病的患者313例;PLF組116例,PLIF組197例.分析融閤情況、手術時間、術中失血量及併髮癥情況. 結果 PLF組的融閤率為84.5％,PLIF組的融閤率為98.0％.PLF組手術時間為120～480 min,平均247.8 min;PLIF組手術時間為90～600 min,平均240.6 min.PLF組手術中齣血量為200～4500 ml,平均1142.9 ml;PLIF組手術齣血量為200～2800 ml,平均927.0ml.PLF組術後併髮癥32.8％(38例);PLIF組術後併髮癥1 8.3％(36例).兩組術後融閤情況、手術時間、術中失血量、術後併髮癥差異有統計學意義(P＜0.05). 結論 PLIF對老年患者植骨融閤率以及植骨融閤等級上均優于PLF.
목적 비교요추후외측식골융합(PLF)、추간식골융합(PLIF)치료노년요추관협착증환자효과. 방법 회고1996년1월지2011년12월위생부북경의원골과수치적행PLF화행PLIF적요추퇴변성질병적환자313례;PLF조116례,PLIF조197례.분석융합정황、수술시간、술중실혈량급병발증정황. 결과 PLF조적융합솔위84.5％,PLIF조적융합솔위98.0％.PLF조수술시간위120～480 min,평균247.8 min;PLIF조수술시간위90～600 min,평균240.6 min.PLF조수술중출혈량위200～4500 ml,평균1142.9 ml;PLIF조수술출혈량위200～2800 ml,평균927.0ml.PLF조술후병발증32.8％(38례);PLIF조술후병발증1 8.3％(36례).량조술후융합정황、수술시간、술중실혈량、술후병발증차이유통계학의의(P＜0.05). 결론 PLIF대노년환자식골융합솔이급식골융합등급상균우우PLF.
Objective To compare the fusion effect between lumbar posterolateral fusion (PLF) and posterior lumbar interbody fusion (PLIF) in elderly patients with lumbar spinal stenosis.Methods Data of 313 patients undergoing PLF or PLIF for treatment lumbar degenerative disease in Department of Orthopedics,Beijing Hospital of China Ministry of Health during January 1996 to December 2011 were retrospectively analyzed.Patients were divided into PLF group (n=116 cases) and PLIF group (n=197 cases).Data of fusion rate,operative time,operative blood-loss and complications were analyzed statistically.Results The fusion rate was 84.5％ in PLF group and 98％ in PLIF group.The average operative time was 247.8 min (120-480 min) and 240.6 min (90-600 min) in PLF and PLIF groups respectively.The blood-loss was 1142.9 ml (200 4500 ml) and 927.0 ml (200-2800 ml) in PLF and PLIF groups respectively.Postoperative complications were found in 38 cases in PLF group and in 36 cases in PLIF group.There were significant differences in fusion rate,operative time,operative blood loss,complications between the two groups (all P＜0.05).Conclusions PLIF has better effects on fusion rate and fusion grade than PLF.
