微创经椎间孔减压腰椎融合内固定术治疗腰椎退变性疾病的临床疗效分析
|
摘要
目的分析腰椎退变性疾病者行微创经椎间孔减压腰椎融合内固定手术(MIS-TLIF)医治的临床疗效。方法对本院2012年12月至2017年12月收治腰椎退变性疾病60例患者临床资料加以分析,且依据不同医治方法分为两组,将行后路开放术治疗的30例患者作为对照组,将行MIS-TLIF治疗的30例患者作为研究组,比较两组手术指标、肌酸磷酸激酶水平和并发症。结果研究组出血量(244.20±30.11)ml和引流量(85.50±22.36)ml均比对照组少,手术用时(146.74±30.65)min比对照组长,下床活动的时间(2.30±0.21)d比对照组短(P<0.05);研究组手术后1天、3天、5天肌酸磷酸激酶水平均比对照组优,且总并发症率比对照组低(P<0.05)。结论腰椎退变性疾病者行MIS-TLIF医治可优化手术指标和肌酸磷酸激酶水平,且减少并发症发生。
Objective To analyze the clinical efficacy of minimally invasive transforaminal lumbar fusion and internal fixation(MIS-TLIF) in the treatment of lumbar degenerative diseases.Methods The clinical data of 60 patients with degenerative lumbar degenerative disease from December 2012 to December 2017 were analyzed.According to different treatment methods,30 patients were divided into two groups.30 patients treated with posterior open surgery were used as control group.30 patients who underwent MIS-TLIF treatment were included in the study group.The surgical parameters,creatine phosphokinase levels and complications were compared between the two groups.Results The bleeding volume(244.20±30.11) ml and drainage volume(85.50±22.36) ml were lower in the study group than in the control group.The time of operation(146.74±30.65) min was longer than that of the control group,and the time of getting out of bed(2.30±0.21)d The control group was shorter than the control group at 1 day,3 days,and 5 days after surgery,and the total complication rate was lower than that of the control group(P<0.05).Conclusion MIS-TLIF treatment for lumbar degenerative diseases can optimize surgical parameters and creatine phosphokinase levels and reduce complications.
Objective To analyze the clinical efficacy of minimally invasive transforaminal lumbar fusion and internal fixation(MIS-TLIF) in the treatment of lumbar degenerative diseases.Methods The clinical data of 60 patients with degenerative lumbar degenerative disease from December 2012 to December 2017 were analyzed.According to different treatment methods,30 patients were divided into two groups.30 patients treated with posterior open surgery were used as control group.30 patients who underwent MIS-TLIF treatment were included in the study group.The surgical parameters,creatine phosphokinase levels and complications were compared between the two groups.Results The bleeding volume(244.20±30.11) ml and drainage volume(85.50±22.36) ml were lower in the study group than in the control group.The time of operation(146.74±30.65) min was longer than that of the control group,and the time of getting out of bed(2.30±0.21)d The control group was shorter than the control group at 1 day,3 days,and 5 days after surgery,and the total complication rate was lower than that of the control group(P<0.05).Conclusion MIS-TLIF treatment for lumbar degenerative diseases can optimize surgical parameters and creatine phosphokinase levels and reduce complications.
引文
[1]张卫红,张敏,唐恒涛,等.前路椎间融合术治疗腰椎退变性疾病的疗效比较[J].中华实验外科杂志,2015,32(5):1204-1207.
[2]曹华,祁伟,王铮,等.腰椎融合与非融合技术治疗单节段腰椎退变性疾病的疗效对比[J].中华骨与关节外科杂志,2017,10(4):308-311.
[3]徐德太,谢洪波,彭明.腰椎非融合内固定术治疗老年稳定性腰椎退变性疾病近期疗效分析[J].当代医学,2018,24(2):106-108.
[4]罗杰多,罗雨桥,黎伟文,等.保留棘突韧带复合体治疗腰椎退变性疾病的临床效果[J].中国当代医药,2018,25(4):93-96.
[5]张顺聪,郭惠智,莫凌,等.斜外侧椎间融合术联合后路固定治疗腰椎退变性疾病的初步评价[J].中国矫形外科杂志,2018,26(3):203-208.
[6]付宏伟,陈晓华,马海召,等.甲状旁腺激素(1-34)对骨质疏松性腰椎退变性疾病TLIF术后的影响[J].中国骨质疏松杂志,2017,23(10):1304-1308.
[7]曾腾辉,杨欣建,顾洪生,等.MIS-TLIF内固定治疗在腰椎退变性疾病患者中的应用及效果[J].医学综述,2014,20(14):2642-2644.
[8]陶忠亮,张财义,王绍刚,等.MIS-TLIF结合单侧椎弓根钉棒内固定治疗腰椎退变性疾病[J].中国煤炭工业医学杂志,2016,19(8):1100-1103.
[2]曹华,祁伟,王铮,等.腰椎融合与非融合技术治疗单节段腰椎退变性疾病的疗效对比[J].中华骨与关节外科杂志,2017,10(4):308-311.
[3]徐德太,谢洪波,彭明.腰椎非融合内固定术治疗老年稳定性腰椎退变性疾病近期疗效分析[J].当代医学,2018,24(2):106-108.
[4]罗杰多,罗雨桥,黎伟文,等.保留棘突韧带复合体治疗腰椎退变性疾病的临床效果[J].中国当代医药,2018,25(4):93-96.
[5]张顺聪,郭惠智,莫凌,等.斜外侧椎间融合术联合后路固定治疗腰椎退变性疾病的初步评价[J].中国矫形外科杂志,2018,26(3):203-208.
[6]付宏伟,陈晓华,马海召,等.甲状旁腺激素(1-34)对骨质疏松性腰椎退变性疾病TLIF术后的影响[J].中国骨质疏松杂志,2017,23(10):1304-1308.
[7]曾腾辉,杨欣建,顾洪生,等.MIS-TLIF内固定治疗在腰椎退变性疾病患者中的应用及效果[J].医学综述,2014,20(14):2642-2644.
[8]陶忠亮,张财义,王绍刚,等.MIS-TLIF结合单侧椎弓根钉棒内固定治疗腰椎退变性疾病[J].中国煤炭工业医学杂志,2016,19(8):1100-1103.