Quadrant通道下经Wiltse入路治疗老年人极外侧腰椎间盘突出症的疗效分析  

The effect of Quadrant chananel system under the Wiltse approach in the treatment of elderly far lateral lumbar disc herniation

作　　者：蔡中续 马晓春 齐国宝 于学忠 

机构地区：[1]东营市人民医院脊柱外科,山东东营257091

出　　处：《颈腰痛杂志》2014年第5期355-358,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨Quadrant通道下经wiltse入路微创治疗老年人极外侧腰椎间盘突出症的临床效果。方法收集2010-01-2013-01手术治疗的31例老年人极外侧腰椎间盘突出症患者资料,其中Quadrant微创通道经wiltse入路组18例,TLIF治疗13例,随访12月,统计手术时间、出血量、切口长度,对术前、术后1周视觉模拟疼痛评分(visual analogue scales,VAS),术前、术后3月、12月JOA评分进行比较。结果两种方法均能有效缓解疼痛,但quadrant组手术时间短,切口小,出血量少(P<0.01)。Quadrant组术后VAS评分,JOA评分优于TLIF组(P<0.01)。结论 Quadrant通道下经wiltse入路治疗老年人极外侧椎间盘突出症创伤小、恢复快,疗效确切。Objective To explore the clinical effect of Quadrant chananel system under the Wihse approach in the treatment of the elderly far lateral lumbar disc herniation. Methods 31 el- derly patients with far lateral lumbar disc herniation were treated by surgery from January 2010 to January 2013,including 18 patients in Quadrant minimally invasive channel group and 13 patients in transforaminal lumbar interbody fusion （TLIF） group. The patients were followed up for 12 months,and the operation time,blood loss and length of incision were investigated. The VAS and JOA scores were also compared preoperatively and postoperatively. Results Although two methods could effectively relieve the pain,the operation time,incision length and blood loss in Quadrant group were less than those in TLIF group （P〈0.01）. Moreover,the postoperative VAS and JOA scores in Quadrant group were better than those in TLIF group （P〈0.01）. Conclusion Surgical treatment on elderly far lateral lumbar disc herniation via Quadrant channel under Wihse approach is effective with advantages of less trauma, less bleeding and faster recovery.

关 键 词：MAST QUADRANT 老年人 极外侧椎间盘突出症 TLIF 

分 类 号：R681.53[医药卫生—骨科学]