微创改良TLIF联合单侧钉棒系统固定治疗腰椎退行性疾病  

Treatment of modified minimally invasive TLIF and unilateral nail holding system for lumbar degenerative disease

作　　者：赖征文 李敏 熊卜贵 李平安 刘云彬 

机构地区：[1]广东深圳市横岗人民医院外三科,518115

出　　处：《中国矫形外科杂志》2011年第10期816-819,共4页Orthopedic Journal of China

基　　金：深圳市科技计划项目(编号:201003413)

摘　　要：[目的]探讨采用微创（minimally invasive）改良经腰椎间孔椎体间融合（modified transforaminal lumbar interbody fusion,TLIF）联合单侧钉棒系统治疗腰椎退行性疾病（lumbar vertebrae degenerative disease）的适应证、手术方法、初步疗效及并发症。[方法]2010年1月~2011年3月,随机选取有微创TLIF术适应证腰椎退行性疾病病例30例,其中微创改良TLIF联合单侧钉棒系统固定组（A组）15例,常规开放TLIF组（B组）15例,行各自术式手术并进行对照研究。[结果]术后6个月A组同B组在腰椎椎间植骨融合率、JOA评分等比较差异均显著,具有统计学意义（P〈0.05）。[结论]微创改良TLIF联合单侧钉棒系统固定治疗腰椎退行性疾病具有软组织损伤小、出血量少、不破坏对侧正常结构、住院时间短、腰椎椎间植骨融合率高、临床症状、体征及括约肌功能改善率高、并发症发生率低的优点,值得在临床推广应用。[Objective]To discuss the treatment indications,surgical methods,preliminary results and complications of modified minimally invasive TLIF and unilateral nail holding system for lumbar degenerative disease.[Method]Thirty patients with indications of minimally invasive TLIF technique for degenerative illness were randomly selected from January 2010 to March 2011,15 cases were for minimally invasive TLIF improved holding system of the united unilateral screw fixation group（group A）,15 cases were for conventional open TLIF technique（group B）.Controlled study was made for each surgical procedure.[Result]The lumbar interbody fusion rate,JOA scores between groups A and B showed statistically significant difference（P0.05）.[Conclusion]Modified minimally invasive TLIF and unilateral nail holding system for lumbar degenerative diseases has advantages of less soft tissue injury,less blood loss,avoiding destroying normal structure of contralateral,shorter hospital stay,higher lumbar interbody fusion rate,higher improve rate of clinical symptom,signs and sphincter function,and lower complication rate.It is prospective in clinical application.

关 键 词：微创 改良经椎间孔椎体间融合术 单侧钉棒系统 腰椎退行性疾病 

分 类 号：R687.3[医药卫生—骨科学]