CAJ | 학술논문

目的：探讨微创经椎间孔椎间融合内固定术( Mini-TLIF)治疗极外侧型腰椎间盘突出症的疗效。方法收集2010年1月-2013年1月因极外侧型腰椎间盘突出症行手术治疗的47例的临床资料,根据手术方式不同分为两组,A组行Mini-TLIF术20例,B组行开放经椎间孔入路腰椎融合术(Open-TLIF)27例。观察两组手术一般情况和并发症发生情况,评价腰痛和腿痛视觉分析量表( visual analog scale, VAS)、Oswestry功能残损量表( oswestry disabil-ity index, ODI)。结果与B组比较,A组手术时间长、出血量少、住院时间和恢复时间短、住院费用高( P<0．05)。两组末次随访腰、腿痛VAS和ODI评分均低于术前(P<0．05)。两组术后腰痛、腿痛VAS、ODI评分和临床疗效比较差异无统计学意义(P>0．05)。结论 Mini-TLIF术是治疗极外侧型腰椎间盘突出症的微创且良好的治疗方法。
목적：탐토미창경추간공추간융합내고정술( Mini-TLIF)치료겁외측형요추간반돌출증적료효。방법수집2010년1월-2013년1월인겁외측형요추간반돌출증행수술치료적47례적림상자료,근거수술방식불동분위량조,A조행Mini-TLIF술20례,B조행개방경추간공입로요추융합술(Open-TLIF)27례。관찰량조수술일반정황화병발증발생정황,평개요통화퇴통시각분석량표( visual analog scale, VAS)、Oswestry공능잔손량표( oswestry disabil-ity index, ODI)。결과여B조비교,A조수술시간장、출혈량소、주원시간화회복시간단、주원비용고( P<0．05)。량조말차수방요、퇴통VAS화ODI평분균저우술전(P<0．05)。량조술후요통、퇴통VAS、ODI평분화림상료효비교차이무통계학의의(P>0．05)。결론 Mini-TLIF술시치료겁외측형요추간반돌출증적미창차량호적치료방법。
Objective To investigate the effect of minimally invasive transformational lumbar interbody fusion (Mini-TLIF) in treatment of far lateral lumber disc herniation. Methods Forty-seven patients with far lateral lumber disc herniation admitted during January 2010 and January 2013 were divided into two groups according to different surgical procedures. Group A (n=20) underwent Mini-TLIF, and group B (n=27) underwent Open-TLIF. General conditions, incidence rate of compli-cations, visual analog scale (VAS) of back and leg pains and Oswestry disability index (ODI) in the two groups were ob-served. Results Compared with those in group B, longer surgical time, less blood loss, shorter hospital stay and recovery time and much hospitalization cost were registered in group A (P<0. 05). Scores of VAS of back and leg pains and ODI in two groups at final follow-up were significantly lower than those before the surgery (P>0. 05). The differences in VAS of back and leg pains score, ODI score and curative effect in the two groups after the surgery were not statistically significant (P>0. 05). Conclusion Mini-TLIF technique in treatment of far lateral lumbar disc herniation has less invasive and better curative effect.