安徽医药
安徽醫藥
안휘의약
ANHUI MEDICAL AND PHARMACEUTICAL JOURNAL
2014年
9期
1682-1685
,共4页
Quadrant系统%sextant内固定%腰椎滑脱症%后路腰椎椎体间融合术
Quadrant繫統%sextant內固定%腰椎滑脫癥%後路腰椎椎體間融閤術
Quadrant계통%sextant내고정%요추활탈증%후로요추추체간융합술
Quadrant system%sextant fixation%lumbar olisthe%posterior lumbar interbody fusion
目的：比较Quadrant系统下sextant内固定术与传统后路腰椎椎体间融合（ posterior lumbar interbody fusion ，PLIF）开放手术治疗腰椎滑脱症的临床疗效及相关并发症。方法回顾性分析该院2008年1月-2012年1月收治的294例腰椎滑脱症患者，其中82例患者行Quadrant系统下sextant内固定治疗（微创组），212例行传统的PLIF治疗（传统组），分别记录两组患者的手术时间、术中出血量、术后引流量及输血量、术后卧床时间、疗效评定及各种并发症的发生率。结果微创组的手术切口、手术时间、术中失血，术后住院时间均明显少于传统组，两组差异有统计学意义（P＜0．05）；2组术后3个月ODI及VAS评分差异有统计学意义（P＜0．05），优良率也具有显著差异（P＜0．05）；术后微创组并发症发生率为3．66％，较传统组并发症发生率17．92％差异显著（P＜0．05）。结论 Quadrant通道下减压sextant内固定治疗腰椎滑脱症有较好的疗效，并且创伤小、并发症发生率低，是临床上值得推广的手术方式。
目的：比較Quadrant繫統下sextant內固定術與傳統後路腰椎椎體間融閤（ posterior lumbar interbody fusion ，PLIF）開放手術治療腰椎滑脫癥的臨床療效及相關併髮癥。方法迴顧性分析該院2008年1月-2012年1月收治的294例腰椎滑脫癥患者，其中82例患者行Quadrant繫統下sextant內固定治療（微創組），212例行傳統的PLIF治療（傳統組），分彆記錄兩組患者的手術時間、術中齣血量、術後引流量及輸血量、術後臥床時間、療效評定及各種併髮癥的髮生率。結果微創組的手術切口、手術時間、術中失血，術後住院時間均明顯少于傳統組，兩組差異有統計學意義（P＜0．05）；2組術後3箇月ODI及VAS評分差異有統計學意義（P＜0．05），優良率也具有顯著差異（P＜0．05）；術後微創組併髮癥髮生率為3．66％，較傳統組併髮癥髮生率17．92％差異顯著（P＜0．05）。結論 Quadrant通道下減壓sextant內固定治療腰椎滑脫癥有較好的療效，併且創傷小、併髮癥髮生率低，是臨床上值得推廣的手術方式。
목적：비교Quadrant계통하sextant내고정술여전통후로요추추체간융합（ posterior lumbar interbody fusion ，PLIF）개방수술치료요추활탈증적림상료효급상관병발증。방법회고성분석해원2008년1월-2012년1월수치적294례요추활탈증환자，기중82례환자행Quadrant계통하sextant내고정치료（미창조），212례행전통적PLIF치료（전통조），분별기록량조환자적수술시간、술중출혈량、술후인류량급수혈량、술후와상시간、료효평정급각충병발증적발생솔。결과미창조적수술절구、수술시간、술중실혈，술후주원시간균명현소우전통조，량조차이유통계학의의（P＜0．05）；2조술후3개월ODI급VAS평분차이유통계학의의（P＜0．05），우량솔야구유현저차이（P＜0．05）；술후미창조병발증발생솔위3．66％，교전통조병발증발생솔17．92％차이현저（P＜0．05）。결론 Quadrant통도하감압sextant내고정치료요추활탈증유교호적료효，병차창상소、병발증발생솔저，시림상상치득추엄적수술방식。
Objective To compare the clinical efficacy and related complication of Quadrant decompression combined with sextant fixa -tion and posterior lumbar interbody fusion ( PLIF) in the treatment of lumbar olisthe .Methods Two hundred and ninety-four cases of lumbar olisthe disease patients admitted to hospital from January 2008 to January 2012 were retrospectively analyzed ,including minimal-ly invasive group 82 cases (operated under Quadrant system ) and traditional surgery group 212 cases.The operation duration,intraoper-ative blood loss ,postoperative flow ,the amount of blood transfusion ,postoperative bed time ,curative effect evaluation and the incidence of various complications were recorded respectively .Results The incision,operation time,intraoperative blood loss,postoperative hos-pital stay of minimally invasive group were significantly less than the traditional group ( P <0 .05 );The ODI and VAS scores 3 months after operation and the effective rate were statistically different (P <0.05).The incidence of postoperative complications of minimally invasive group (3.66%) was significantly different from the incidence of complications in the traditional group (17.92%) ( P<0.05).Conclusions The Quadrant decompression combined with sextant fixation for lumbar olisthe has a good curative effect with ad -vantages of small trauma ,and low complication rate ,which is worthy of clinical application .
