CAJ | 학술논문

目的：研究不同入路Cage植骨联合椎弓根螺钉内固定融合治疗腰椎滑脱的临床疗效。方法将2011年1月至2012年12月我院收治的120例腰椎滑脱患者按手术方式分为前路椎体间植骨融合术（ ALIF)组和后外侧植骨融合术（ PLF)组、经后路椎体间植骨融合术（PLIF)组,每组40例,观察手术相关指标及远期机体功能情况。结果 PLIF组患者的手术时间为（82.3±12.1) h,术中出血量为（60.3±9.5) mL,术后下床活动时间为（5.5±0.7) d,NRS评分为（1.5±0.2)分,术后3、6、9、12个月后的ODI评分分别为（24.1±3.4)分、（19.4±3.1)分、（13.5±2.5)分、（9.8±1.6)分,各项指标均明显低于ALIF组和PLF组,PLIF组椎间隙高度（9.3±1.2) mm,明显大于ALIF组和PLF组（P<0.05)。结论经后路椎间植骨融合术能够减小手术创伤,促进术后恢复,改善远期机体功能,在腰椎滑脱的治疗中具有积极价值。
목적：연구불동입로Cage식골연합추궁근라정내고정융합치료요추활탈적림상료효。방법장2011년1월지2012년12월아원수치적120례요추활탈환자안수술방식분위전로추체간식골융합술（ ALIF)조화후외측식골융합술（ PLF)조、경후로추체간식골융합술（PLIF)조,매조40례,관찰수술상관지표급원기궤체공능정황。결과 PLIF조환자적수술시간위（82.3±12.1) h,술중출혈량위（60.3±9.5) mL,술후하상활동시간위（5.5±0.7) d,NRS평분위（1.5±0.2)분,술후3、6、9、12개월후적ODI평분분별위（24.1±3.4)분、（19.4±3.1)분、（13.5±2.5)분、（9.8±1.6)분,각항지표균명현저우ALIF조화PLF조,PLIF조추간극고도（9.3±1.2) mm,명현대우ALIF조화PLF조（P<0.05)。결론경후로추간식골융합술능구감소수술창상,촉진술후회복,개선원기궤체공능,재요추활탈적치료중구유적겁개치。
Objective To study the effect of different approaches of Cage bone graft combined with pedicle screw fixation fusion in trea-ting lumbar spondylolisthesis. Methods From January 2011 to December 2012,120 patients with lumbar spondylolisthesis in our hospital were randomly divided into anterior lumbar interbody fusion (ALIF) group(n=40),postero lateral fusion (PLF) group(n=40) and posteri-or lunbar interbody fusion (PLIF) group(n=40). The related index and body’s function were observed. Results In PLIF group,the opera-tion time was(82. 3 ± 12. 1) h,intraoperative bleeding volume was (60. 3 ± 9. 5) mL,postoperative ambulation time was (5. 5 ± 0. 7) d, NRS score was(1. 5 ± 0. 2),ODI score 3,6,9,12 months after operation were respectively (24. 1 ± 3. 4),(19. 4 ± 3. 1),(13. 5 ± 2. 5), (9. 8 ± 1. 6),which was significantly lower than ALIF group and PLF group;the intervertebral height(9. 3 ± 1. 2)mm were significantly high-er than those of ALIF group and PLF group. Conclusion PLIF has positive clinical value in treating lumbar spondylolisthesis as it can re-duce the operation wound,promote postoperative recovery,and improve the long-term function of body.