经后路椎体间融合术与经椎间孔椎体间融合术治疗老年退行性腰椎滑脱合并腰椎管狭窄的疗效  

Comparison of Posterior Lumbar Interbody Fusion and Transforaminal Lumbar Interbody Fusion in Treating Degenerative Lumbar Spondylolisthesis Combined with Lumbar Spinal Stenosis in Elderly Patients

作　　者：周广红[1] 刘思玮[1] 张晓辉[1] 马利平[1] 栾静[1] 

机构地区：[1]吉林大学中日联谊医院,吉林长春130031

出　　处：《现代生物医学进展》2015年第27期5352-5355,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金青年科学基金项目(30901795)

摘　　要：目的:研究经后路椎体间融合术(PLIF)与经椎间孔椎体间融合术(TLIF)治疗老年退行性腰椎滑脱合并腰椎管狭窄症的临床疗效。方法:选取2011年12月到2014年12月我院收治的老年退行性腰椎滑脱合并腰椎管狭窄症患者40例,根据手术方式将患者分为PLIF组和TLIF组,比较两组手术时间、术中出血量、术后引流量、术后卧床时间、视觉疼痛评分(VAS)、Oswestry功能不良指数(ODI)以及并发症的发生率。结果:TLIF组术中出血量、术后引流量及术后卧床时间均显著优于PLIT组,差异具有统计学意义(P<0.05);两组手术时间差异无统计学意义(P>0.05);两组术后半年VAS评分及ODI评分均显著优于手术前,差异具有统计学意义(P<0.05);但两组之间比较,差异无统计学意义(P>0.05);TLIF组并发症发生率显著低于PLIF组,差异具有统计学意义(P<0.05)。结论:TLIF治疗老年退行性腰椎滑脱合并腰椎管狭窄症具有较好的临床疗效,且术后并发症较少。Objective： To study and compare the clinical effects of posterior lumbar interbody fusion（PLIF） and transforaminal lumbar interbody fusion（TLIF） on the treatment of degenerative lumbar spondylolisthesis（DLS） combined with lumbar spinal stenosis（LSS） for elderly patients. Methods： 40 elderly patients with DLS and LSS who were admitted in our hospital from December 2011 to December 2014 were recruited and according to the different operation methods, the patients were divided into the PLIF group and the TLIF group. Then the operation time, intraoperative blood loss, postoperative drainage volume, postoperative time of staying in bed, visual analogue pain score（VAS）, Oswestry dysfunction index（ODI） and complications of the two groups were observed and compared.Results： The intraoperative blood loss, postoperative drainage volume and time of staying in bed of TLIF group were better than those of the PLIF group, and the differences were statistically significant（P〈0.05）; there was no statistically significant difference about the operation time between the two groups（P〉0.05）. The VAS and ODI scores half a year after the operation in the two groups were significantly better than before, and the differences were statistically significant（P〈0.05）; There was no statistically significant difference about the VAS and ODI scores between the two groups（P〉0.05）. The occurrence rate of complications of TLIF group was obviously lower than that of the PLIF group, and the differences were statistically significant（P〈0.05）. Conclusion： TLIF demonstrates has better effect on the treatment of DLS and LSS for elderly patients with less postoperative complications.

关 键 词：经后路椎体间融合术 经椎间孔椎体间融合术 退行性腰椎滑脱 腰椎管狭窄 

分 类 号：R681[医药卫生—骨科学]