CAJ | 학술논문

目的：分析微创经椎间孔腰椎椎体间融合术（ MIS-TLIF）与传统后路开放腰椎椎体间融合术（ OPEN-PLIF）术后并发症情况，并探讨分析并发症的特点及防治。方法对行腰椎融合手术患者265例进行回顾性分析，其中140例行OPEN-PLIF，125例行MIS-TLIF，观察记录手术后各项指标及并发症情况，并对结果进行统计学分析。结果 MIS-TLIF组在手术切口长度、术中出血量、术后引流量、术后住院时间等方面明显优于OPEN-PLIF组（ P＜0.05）。 MIS-TLIF组术后出现并发症8例次（6.4％），其中神经根刺激症状1例，伤口感染1例，脑脊液漏1例，泌尿系统疾病1例，消化道系统疾病1例，心肺系统疾病2例，内固定并发症1例；开放PLIF组出现并发症24例次（17.1％），其中神经根刺激症状8例，伤口感染2例，脑脊液漏3例，泌尿系统疾病2例，消化道系统疾病2例，血液系统疾病3例，心肺系统疾病2例，内固定并发症2例。 MIS-TLIF组并发症发生率低于OPEN-PLIF组（ P＜0.05）。结论微创TLIF治疗腰椎退行性疾病具有损伤小、并发症发生率低、术后恢复快等优点，且安全可靠。
목적：분석미창경추간공요추추체간융합술（ MIS-TLIF）여전통후로개방요추추체간융합술（ OPEN-PLIF）술후병발증정황，병탐토분석병발증적특점급방치。방법대행요추융합수술환자265례진행회고성분석，기중140례행OPEN-PLIF，125례행MIS-TLIF，관찰기록수술후각항지표급병발증정황，병대결과진행통계학분석。결과 MIS-TLIF조재수술절구장도、술중출혈량、술후인류량、술후주원시간등방면명현우우OPEN-PLIF조（ P＜0.05）。 MIS-TLIF조술후출현병발증8례차（6.4％），기중신경근자격증상1례，상구감염1례，뇌척액루1례，비뇨계통질병1례，소화도계통질병1례，심폐계통질병2례，내고정병발증1례；개방PLIF조출현병발증24례차（17.1％），기중신경근자격증상8례，상구감염2례，뇌척액루3례，비뇨계통질병2례，소화도계통질병2례，혈액계통질병3례，심폐계통질병2례，내고정병발증2례。 MIS-TLIF조병발증발생솔저우OPEN-PLIF조（ P＜0.05）。결론미창TLIF치료요추퇴행성질병구유손상소、병발증발생솔저、술후회복쾌등우점，차안전가고。
Objective To analyse the postoperation complications of minimally invasive transforaminal lum-bar interbody fusion(MIS-TLIF) and traditional open posterior lumbar intervertebral fusion (OPEN-PLIF) retrospec-tively, and to investigate its characteristics and prevention .Methods An analysis was performed on 265 patients who underwent MIS-TLIF(Group MIS-TLIF,125 cases) or PLIF(Group PLIF,140 cases).Postoperative outcomes and complications were recorded and statistically analyzed .Results In the length of the incision , intraoperative bloodloss, postoperative flow and postoperative hospital stay , etc, the MIS-TLIF group was superior to the OPEN-PLIF group(P<0.05).In group MIS-TLIF, postoperation complications included nerve root irritation in 1 cases, wound infection in 1 case, cerebrospinal fluid leakage in 1 case, urinary system diseases in 1 case, digestive system disease in 1 case, cardiopulmonary system diseases in 2 cases, Internal fixation complication in 1 case;In group PLIF,postopera-tion complications included nerve root irritation in 8 cases, wound infection in 2 cases, cerebrospinal fluid leakage in 3 cases, urinary system diseases in 2 cases, digestive system disease in 2 cases, hematological disease in 3 cases, car-diopulmonary system diseases in 2 cases, Internal fixation complication in 2 case.There was significant difference in to-tal complication rate between 2 groups(P<0.05).Conclusion In the treatment of lumbar degenerative disease , MIS-TLIF is safe and effective , and it has the advantages such as less damage , lower complication rates and faster recovery .