中国民族民间医药
中國民族民間醫藥
중국민족민간의약
CHINESE JOURNAL OF ETHNOMEDICINE AND ETHNOPHARMACY
2014年
13期
44-45
,共2页
多裂肌间隙入路%经椎间孔椎体间融合术%腰椎后路腰椎间融合术%腰椎间盘突出症%疗效比较
多裂肌間隙入路%經椎間孔椎體間融閤術%腰椎後路腰椎間融閤術%腰椎間盤突齣癥%療效比較
다렬기간극입로%경추간공추체간융합술%요추후로요추간융합술%요추간반돌출증%료효비교
Intra -multifidns muscle space%Transforaminal lumbar interbody fusion (TLIF)%Posterior lumbar interbody fusion (PLIF)%Lumbar disc herniation
目的：比较经多裂肌间隙入路椎间孔椎体间融合术（TLIF）和传统腰椎后路腰椎间融合术（PLIF）在腰椎间盘突出症的临床疗效。方法：选择腰椎间盘突出症的患者60例，根据手术方式不同随机分为两组（PLIF 组和 TLIF 组），每组各30例。比较两组患者手术时间、术中出血量、术后引流量、术后住院天数、椎体间融合率、椎体融合时间以及术后并发症；手术前后 VAS 评分和 ODI 功能障碍指数评分。结果：①TLIF 组的手术时间、术中出血量、术后引流量均比 PLIF 组明显降低（P ＜0.05）；两组术后住院时间、椎体间融合率和椎体融合时间比较无显著差异（P ＞0.05）。②TLIF 组术后 VAS 评分和 ODI 评分均比 PLIF 组明显降低；③TLIF 组的术后神经损伤、固定物松动移位和硬脊膜撕裂脑脊液漏发生率均比 PLIF 组明显降低（P ＜0.05）。结论：采用经多裂肌间隙入路 TLIF 技术治疗腰椎间盘突出症较传统 PLIF 技术疗效好、创伤小、出血少、术后并发症少，值得临床推广应用。
目的：比較經多裂肌間隙入路椎間孔椎體間融閤術（TLIF）和傳統腰椎後路腰椎間融閤術（PLIF）在腰椎間盤突齣癥的臨床療效。方法：選擇腰椎間盤突齣癥的患者60例，根據手術方式不同隨機分為兩組（PLIF 組和 TLIF 組），每組各30例。比較兩組患者手術時間、術中齣血量、術後引流量、術後住院天數、椎體間融閤率、椎體融閤時間以及術後併髮癥；手術前後 VAS 評分和 ODI 功能障礙指數評分。結果：①TLIF 組的手術時間、術中齣血量、術後引流量均比 PLIF 組明顯降低（P ＜0.05）；兩組術後住院時間、椎體間融閤率和椎體融閤時間比較無顯著差異（P ＞0.05）。②TLIF 組術後 VAS 評分和 ODI 評分均比 PLIF 組明顯降低；③TLIF 組的術後神經損傷、固定物鬆動移位和硬脊膜撕裂腦脊液漏髮生率均比 PLIF 組明顯降低（P ＜0.05）。結論：採用經多裂肌間隙入路 TLIF 技術治療腰椎間盤突齣癥較傳統 PLIF 技術療效好、創傷小、齣血少、術後併髮癥少，值得臨床推廣應用。
목적：비교경다렬기간극입로추간공추체간융합술（TLIF）화전통요추후로요추간융합술（PLIF）재요추간반돌출증적림상료효。방법：선택요추간반돌출증적환자60례，근거수술방식불동수궤분위량조（PLIF 조화 TLIF 조），매조각30례。비교량조환자수술시간、술중출혈량、술후인류량、술후주원천수、추체간융합솔、추체융합시간이급술후병발증；수술전후 VAS 평분화 ODI 공능장애지수평분。결과：①TLIF 조적수술시간、술중출혈량、술후인류량균비 PLIF 조명현강저（P ＜0.05）；량조술후주원시간、추체간융합솔화추체융합시간비교무현저차이（P ＞0.05）。②TLIF 조술후 VAS 평분화 ODI 평분균비 PLIF 조명현강저；③TLIF 조적술후신경손상、고정물송동이위화경척막시렬뇌척액루발생솔균비 PLIF 조명현강저（P ＜0.05）。결론：채용경다렬기간극입로 TLIF 기술치료요추간반돌출증교전통 PLIF 기술료효호、창상소、출혈소、술후병발증소，치득림상추엄응용。
Objective To compare the therapeutic effect of Transforaminal lumbar interbody fusion (TLIF)through Intra -mul-tifidns muscle space and traditional Posterior lumbar interbody fusion (PLIF)on Lumbar disc herniation.Methods Sixty patients with Lumbar disc herniation were selected and divided into two groups with 30 cases in each groups.TLIF group was given the treatment of Transforaminal lumbar interbody fusion (TLIF)through Intra -multifidns muscle space whiIe PLIF group was given the treatment of traditional Posterior lumbar interbody fusion.Operation time,bleeding volume,postoperative drainage volume and hospital stay,length of interbody fusion,rate of interbody fusion were all recorded.And preoperative and postoperative VAS and ODI score of two groups were observed and compared.Results ①The operation time,intraoperative bleeding volume and postoperative drainage volume in TLIF group were less than those in PLIF group (P <0.05);There were no significant difference of length of interbody fusion,rate of inter-body fusion and postoperative hospital stay between the two groups (P >0.05);② Postoperative VAS and ODI score in group TLIF were significantly lower when compared with PLIF group (P <0.05);③ There were lower incidence of posetoperative complication in-cluding nerve injury,fixation loosening,dural tear and leakage of cerebrospinal fluid in group TLIF than those in group PLIF (P <0.05).Conclusion The therapeutic effect of TLIF through Intra -multifidns muscle space on Lumbar disc herniation is obvious,less trauma,less bleeding and less complication,which is worthy of clinical application.
