椎间盘镜与常规手术治疗退变性腰椎不稳的比较  

Comparative analysis of posterior lumbar interbody fusion by MED surgical system and open operation in patients with spondylolithesis resulted from lumbar disc decay

作　　者：魏思奇[1] 张春霖[2] 李保良[1] 王建民[1] 

机构地区：[1]广东医学院附属厚街医院,东莞523945 [2]郑州大学第一附属医院骨科

出　　处：《中国实用医刊》2010年第3期21-23,共3页Chinese Journal of Practical Medicine

摘　　要：目的 比较椎间盘镜下椎间融合术与传统开放内固定腰椎后路融合术对退变性腰椎不稳的治疗效果.方法 选择该院2005年3月至2008年11月单节段腰椎不稳患者60例,随机分为开放组与MED组,各30例,观察手术切口长度、手术出血量、手术时间,并于椎间融合后4～6个月进行疗效评定.结果 MED组与开放组比较,患者切口小、术中出血量少、住院天数少、手术时间短(P＜0.05).术后MED组疗效优的病例显著多于常规开放组(P＜0.05).结论 椎间盘镜选择性应用于椎间融合治疗退变性腰椎不稳较开放性手术,具有创伤小、出血少、并发症少、康复快和疗效好等特点.Objective To compare the posterior lumbar interbody fusion operation by micro -en-doscopic discec-tomy(MED) surgical system and by opening operation in patients with spondylolithesis resulted from lumbar disc decay. Methods Sixty patients with spondylolithesis resulted from lumbar disc decay during March 2005 and November 2008 were enrolled and randomly divided into two groups, the group treated with the posterior lumbar interbody fusion operation by MED surgical system and the group treated with the operation by opening operation. The length of operative incision,the volume of bleeding,the operation time and the therapeutic efficacy after operation were evaluated. Results The length of operative incision,the volume of bleeding and the operation time of the group treated with the posterior lumbar interbody fusion operation by MED surgical system were significantly lower than those of the group treated with the operation by opening operation (P ＜ 0. 05 ) and the therapeutic efficacy was significantly better than that of the group treated with the operation by opening operation ( P ＜ 0. 05). Conclusions The posterior lumbar interbody fusion operation by MED surgical system to treat the patients with spondy-lolithesis resulted from lumbar disc decay is simple and efficient and is of less trauma,rapid recovery,few complications.

关 键 词：椎间融合 微创脊柱外科 后路椎间盘镜 腰椎不稳 椎间融合术 

分 类 号：R687.3[医药卫生—骨科学]