经多裂肌入路TLIF手术治疗腰椎退行性疾病疗效观察  

Therapeutic effect of surgical treatment for lumbar degenerative disease by transforaminal lumbar interbody fusion through transmultifidus approach

作　　者：童杰[1] 刘社庭[1] 刘晓岚[1] 房佐忠[1] 兰图[1] 周若舟[1] 

机构地区：[1]湖南省郴州市第一人民医院脊柱外科,湖南郴州423000

出　　处：《颈腰痛杂志》2013年第5期380-383,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的比较TLIF手术经多裂肌间隙入路与传统后正中入路治疗腰椎退变性疾病的临床疗效。方法 2010-01-2011-12采用TLIF手术治疗腰椎疾患65例,经多裂肌间隙入路(A组)31例,传统后正中入路(B组)34例。比较两组手术时间、切口长度、术中出血量、术后引流量、腰背痛评分(VAS)及术后恢复情况(JOA下腰痛评分)。结果两组平均手术时间、术中出血量、术后引流量比较,两组术后3个月和末次随访时VAS评分分别与术前比较,以及两组间术后3个月腰背痛VAS评分比较,差异均有统计学意义(P<0.05)。结论经多裂肌入路TLIF手术治疗腰椎退行性疾病,手术时间短,出血少,患者恢复快,近期效果较好。Objective To compare the clinical outcome of surgical treatment for lumbar degen-erative disease by transforaminal lumbar interbody fusion （TLIF） through transmultifidus approach （group A）versus traditional approach （group B）. Methods From Jan 2010 to Dec 2011,a total of 65 patients （31 cases in group A,34 cases in group B） with lumbar degenerative disease underwent TLIF. The mean operative time,length of incision,blood loss,drainage,VAS of lumbodorsal pain and JOA score were compared between the two groups. Results The mean operation time,blood loss and postoperative drainage between the two groups were significantly different（P〈0.05）. The VAS at 3 months after operation and last follow-up in two groups were significantly different compared with preoperation. The VAS at 3 months after operation between the two groups had statistical signifi-cant difference（P〈0.05）. Conclusion TLIF through transmultifidus approach has advantages of less muscle damage, less blood loss,it provides ideal short-term clinical effects and rapid postoperative recovery.

关 键 词：腰椎 椎间融合术 手术入路 多裂肌 

分 类 号：R681.55[医药卫生—骨科学]