椎间盘镜下可膨胀性椎间融合器B-Twin椎间融合术治疗退变失稳性腰椎间盘突出症  

Using of Microendoscopic Decompression and Interbody Fusion with B-Twin to Treat the Unstable Herniation of Lumbar Disc with Degeneration

作　　者：胡安文[1] 罗光平[1] 肖业生[1] 杨长远[1] 

机构地区：[1]湖南省怀化市第一人民医院骨外科,418000

出　　处：《中国骨与关节损伤杂志》2011年第5期411-413,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨后路显微椎间盘镜下可膨胀性椎间融合器B-Twin植入椎间融合术治疗腰椎退变失稳性椎间盘突出症的临床疗效。方法 2005年6月～2008年6月,对32例腰椎退变失稳性巨大型椎间盘突出症行后路显微椎间盘镜联合可膨胀性椎间融合器B-Twin植入椎间融合术。结果术后1周VAS疼痛评分由术前(8.7±0.3)分降至术后(2.3±1.7)分(P<0.01)。随访时间平均(25±3.3)个月,植骨融合率采用Suk标准判断:1年融合率为93.8%,2年融合率为96.9%。结论后路显微椎间盘镜联合可膨胀性椎间融合器B-Twin植入椎间融合术治疗腰椎退变失稳性巨大型椎间盘突出症创伤小、植骨融合率高、临床效果满意。Objective To investigate the efficacy of microendoscopic decompression and interbody fusion with B-twin to treat the patients with degenerative lumbar disc herniation with a unstable spine.Methods From June 2005 to June 2008, 32 eases of unstable herniation of the lumbar disc with degeneration received microendoscopic decompression and interbody fusion with expandable spinal spacer of B-Twin.Results Thirty two case VAS pain score decreased from 8.7±0.3 to 2.3±1.7 （t=7.580,P〈0.01）. The patients were followed up for a mean of 25±3.3 months, According Suk judgement criterion, 1-year fusion rate was 93.8% （30/32）, and the 2-year fusion rate was was 96.9%（31/32）.No patients showed subsidence of the B-Twin.Conclusion Mieroendoscopic decompression and interbody fusion with B-Twin is minimal invasive and higher interbody fusion and can obtain a satisfactory outcome.

关 键 词：椎间盘镜 B—Twin椎间融合 椎间盘移位 腰椎 微创手术 

分 类 号：R681.53[医药卫生—骨科学]