CAJ | 학술논문

目的：探讨X-tube通道下经椎间孔入路腰椎椎体间融合术治疗腰椎腰椎退行性疾病的疗效。方法在X-tube通道下经椎间孔入路行腰椎体间植骨融合、椎弓根钉固定术治疗单节段腰椎间盘突出伴腰椎不稳症及以神经根管狭窄为主的腰椎管狭窄，盘源性腰痛等腰椎退行性疾病的患者13例。结果本组13例患者手术顺利，手术时间平均150 min；术中失血量平均210 ml；住院时间6～14 d（平均8 d）；无神经损伤，无中转开放手术。无伤口感染。ODI评分术前平均为48．3％，术后3个月平均为16．5％，术后6个月平均为14．0％，优良率97．5％。融合率100％。结论 X-tube通道下经椎间孔入路腰椎椎体间融合术对单节段腰椎间盘突出伴腰椎不稳症、以神经根管狭窄为主的腰椎管狭窄及盘源性腰痛等腰椎退行性疾病，短期疗效满意。较传统TLIF手术，具有切开小，创伤小，出血少，固定可靠，术后患者早期下床活动等优点。但是长期疗效还有待进一步随访。
목적：탐토X-tube통도하경추간공입로요추추체간융합술치료요추요추퇴행성질병적료효。방법재X-tube통도하경추간공입로행요추체간식골융합、추궁근정고정술치료단절단요추간반돌출반요추불은증급이신경근관협착위주적요추관협착，반원성요통등요추퇴행성질병적환자13례。결과본조13례환자수술순리，수술시간평균150 min；술중실혈량평균210 ml；주원시간6～14 d（평균8 d）；무신경손상，무중전개방수술。무상구감염。ODI평분술전평균위48．3％，술후3개월평균위16．5％，술후6개월평균위14．0％，우량솔97．5％。융합솔100％。결론 X-tube통도하경추간공입로요추추체간융합술대단절단요추간반돌출반요추불은증、이신경근관협착위주적요추관협착급반원성요통등요추퇴행성질병，단기료효만의。교전통TLIF수술，구유절개소，창상소，출혈소，고정가고，술후환자조기하상활동등우점。단시장기료효환유대진일보수방。
Objective To investigate the effect of transforaminal lumbar interbody fusion ( TLIF) through X-tube channel in treatment of lumbar degenerative disease .Methods 13 cases of patients with lumbar degenerative disease underwent TLIF through X-tube channel and pedicle screw fixation .Results The operations went through successfully ,with average operation time of 150min,average intra-operative blood loss of 50 ml and hospitalization time of 6~14d (average 8d).No neurological damage,conversion to open surgery or wound infection occurred .The average preoperative ODI score was 48.3%,but 3 months later the average was 16.5%,and 6 months later 14.0%.The excellent rate was 97.5%and fusion rate 100%.Conclusion TLIF through X-tube channel X-tube channel in treatment of lumbar degenerative disease has satisfactory short -term effect.It is characterized by small incision ,fewer traumas ,less bleeding ,reliable fixation and early ambulation .But long-term effect needs to be tested by further follow-up.