微创TLIF与PLIF治疗多节段腰椎管狭窄症的疗效比较  

Comparison of miminally invasive transforaminal lumbar interbody fusion and posterior lumbar interbody fusion for multiple lumbar spinal stenosis

作　　者：黎建文[1] 黎松波[1] 刘先银[1] 方冠军[1] 陈耀鑫[1] 叶国标[1] 

机构地区：[1]广东省东莞市人民医院骨科,广东东莞523059

出　　处：《广东医学院学报》2015年第6期722-725,共4页Journal of Guangdong Medical College

基　　金：广东省东莞市科技计划项目(No.201410515000091)

摘　　要：目的观察微创经椎间孔腰椎间融合术(TLIF)治疗多节段腰椎管狭窄症的疗效。方法多节段腰椎管狭窄症患者共62例,其中29例行微创TLIF,33例行后路腰椎间融合术(PLIF)。记录手术时间、术中出血量、术后引流量、下地时间、住院天数及手术前后腰腿痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评分,末次随访行腰椎X线片及CT检查,比较两种术式的疗效。结果两组术后ODI和腰腿痛VAS评分比术前显著改善(P<0.01)。TLIF组手术时间、术中出血量、术后引流量、下地时间、住院时间、术后末次随访腰痛VAS评分明显优于PLIF组(P<0.01)。结论微创TLIF治疗多节段腰椎管狭窄症安全、有效、创伤小。Objective To observe the clinical efficacy of miminally invasive transforaminal lumbar interbody fusion（TLIF） for multiple lumbar spinal stenosis（MLSS）. Methods Twenty-nine and 33 patients with MLSS were treated with TLIF and posterior lumbar interbody fusion（PLIF）,respectively. Operation time,intraoperative blood loss,postoperative drainage,ambulation？time,hospital stay,and pre- and postoperative lumbocrural pain VAS and Oswestry disability index（ODI） were recorded. Lumbar X-ray and CT scanning were performed at the last follow-up. The clinical efficacy was compared between both groups. Results ODI and VAS scores were improved after surgery（P〈0.01）. Compared with PLIF group,operation time,intraoperative blood loss,postoperative drainage,ambulation time,hospital stay,and the last VAS score were better in TLIF grou p（P〈0.01）. Conclusion The miminally invasive TLIF is safe,effective and less traumatic for MLSS.

关 键 词：经椎间孔腰椎间融合术 后路腰椎间融合术 腰椎管狭窄症 

分 类 号：R681.5[医药卫生—骨科学]