微创经椎间孔腰椎椎间融合术与PLIF治疗单节段腰椎间盘突出症的临床疗效比较  

Minimally invasive by the intervertebral foramen lumbar intervertebral fusion and PLIF the clinical efficacy of treatment of segmental lumbar intervertebral disc protrusion

作　　者：刘玉林[1] 杨国进[1] 翟高燕 何锡彬[1] 沈素祥[1] 王国喜[1] LIU Yu -lin YANG Guo -jin ZHAI Gao -yan et al(The Second People＇s Hospital of Taizhou of Jiangsu Province 22550)

机构地区：[1]江苏省泰州市第二人民医院,江苏泰州225500

出　　处：《中国伤残医学》2017年第18期1-2,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：对比分析单节段腰椎间盘突出症患者采用微创经椎间孔腰椎椎间融合术（MIS-TLIF）和后路腰椎椎间融合术（PLIF）治疗的临床效果.方法：将我院2011年10月-2016年10月收治的80例单节段腰椎间盘突出症患者按照随机抽签法分为观察组（采用MIS-TLIF手段治疗）和对照组（采用PLIF手段治疗）,采用VAS评分评价2组患者腰腿痛情况,对比2组患者术中出血量、术后引流量以及术后1周VAS评分等情况.结果：2组患者切口全部1期愈合,观察组患者术中出血量、术后引流量均明显少于对照组（P〈0.05）,且观察组患者术后7天 VAS评分明显低于对照组（P〈0.05）.结论：单节段腰椎间盘突出症患者采用MIS-TLIF治疗的临床效果更优于PLIF,可减少术中组织创伤,减轻患者疼痛,促进患者尽早恢复.Objective： To analyze the patients with single segmental lumbar intervertebral disc protrusion with minimally invasive inter- vertebral foramen lumbar intervertebral fusion （ MIS - TLIF） and posterior lumbar intervertebral fusion （PLIF） ,the clinical effect of treatment. Methods： from October 2011 to October 2011 were 80 cases of patients with single segmental lumbar intervertebral disc protrusion by random draw method was divided into the treatment group （treatment） by using the MIS - TLIF means and the control group （ treatment by using PLIF means） ,two groups of patients with lumbocrural pain VAS score evaluation was adopted, compared two groups of patients with intraoperative blood loss, postoperative led traffic and postoperative 1 week VAS score, and so on and so forth. Results： two groups of patients with all the primary healing of incision, intraoperative blood loss, postoperative treatment group patients lead flow were significantly less than the control group （ P 〈 0.05 ）, and the treatment group patients with postoperative 7 d VAS score significantly lower than the control group （ P 〈 0.05 ）. Conclusion： the patients with single segmental lumbar intervertebral disc protrusion treated with MIS - TLIF clinical effect was more better than the PLIF, could decrease intraoperative tissue trauma, alleviate pain, promote the patient recover as soon as possible.

关 键 词：单节段腰椎间盘突出症 疗效对比 

分 类 号：R681.5[医药卫生—骨科学]