CAJ | 학술논문

目的：探讨经竖脊肌、多裂肌间隙入路手术内固定治疗退变性腰腿痛的临床效果，以便提高临床诊治水平。方法以收治的70例退变性腰腿痛疾病患者为研究对象，随机分为对照组和观察组，各35例。对照组予以后路正中椎体融合术，观察组则予以经竖脊肌、多裂肌间隙入路融合术，比较两组治疗后的临床效果。结果两组在术中出血量、术后引流量、术后3个月的VAS评分、术后多裂肌MRI信号分级上比较有明显的差异性（P<0.05），有统计学意义。结论经竖脊肌、多裂肌间隙入路融合术可减轻脊柱后部肌肉损伤，加快恢复，近期临床效果满意。
목적：탐토경수척기、다렬기간극입로수술내고정치료퇴변성요퇴통적림상효과，이편제고림상진치수평。방법이수치적70례퇴변성요퇴통질병환자위연구대상，수궤분위대조조화관찰조，각35례。대조조여이후로정중추체융합술，관찰조칙여이경수척기、다렬기간극입로융합술，비교량조치료후적림상효과。결과량조재술중출혈량、술후인류량、술후3개월적VAS평분、술후다렬기MRI신호분급상비교유명현적차이성（P<0.05），유통계학의의。결론경수척기、다렬기간극입로융합술가감경척주후부기육손상，가쾌회복，근기림상효과만의。
Objective To investigate the clinical effects of fixation surgery of erector spinae,multifidus gap approach in the treatment of degenerative low back pain,in order to improve the level of clinical diagnosis and therapy. Methods 70 cases of degenerative low back pain were divided in-to control group and conservation group, each group with 35 patients. The control group was given middle posterior interbody fusion,the observation group was given fusion surgery by erector spinae, multifidus gap approach. Results There were significant differences in amount of bleeding, post-operative drainage volume, postoperative VAS score of three months, postoperative MRI signal classification of multifidus muscle (P<0.05). Conclusion Erector spinae, multifidus gap approach can reduce spine back muscle injury,accelerate recovery. The clinical effect in short-term was sat-isfactory.