TLIF治疗极外侧腰椎间盘突出症23例体会  

TLIF Treatment of 23 Cases of Extreme Lateral Lumbar Disc Herniation

作　　者：卢斌[1] 

机构地区：[1]昌邑市人民医院骨科,山东昌邑261300

出　　处：《中国医药指南》2012年第29期43-44,共2页Guide of China Medicine

摘　　要：目的探讨经椎间孔入路的腰椎间盘摘除椎间融合技术（TLIF）治疗极外侧腰椎间盘突出症的疗效及优缺点。方法自2006年以来应用TLIF技术治疗极外侧腰椎间盘突出23例,年龄33～67岁,其中男18例,女5例;L3~46例,L4~514例,L5S13例;单间隙突出4例,双间隙突出10例,多间隙突出9例;均应用单枚肾形Cage进行操作。结果采用中华骨科学会脊柱组腰背痛手术评定标准,优15,良6,可2例。优良率达91.3%。结论 TLIF治疗极外侧型腰椎间盘突出症,术野清晰,直视下操作不易损伤神经根,创伤小,对腰椎稳定性影响较小,是一种有效的治疗方法。Objective To investigate the clinical effect,advantages and disadvantages of extreme lateral 1umbar disc herniation with tranforaminal lumbar interbody fusion.Methods Application TLIF technique in the treatment of far lateral lumbar disc herniation 23 cases since 2006,age 33 to 67 years,including 18 males and 5 females;L3~4 6 cases,L4~5 14 page cases,L5S1 3 cases;single gap highlights the four cases,prominent double-gap10 cases,multigap highlight the nine cases;application of single pieces of kidney-shaped Cage operate.Results Chinese Academy of Orthopaedic Surgeons spine group back pain surgery assessment standards,excellent in 15,good in 6,2 cases.91.3%.Conclusion TLIF treatment of far lateral lumbar disc herniation,the operative field clear,the operation is not easy to damage the nerve root under direct vision,less invasive,less impact on the stability of lumbar spine is an effective treatment method.

关 键 词：TLIF 极外侧型腰椎间盘突出 椎间融合 

分 类 号：R687.3[医药卫生—骨科学]