改良TLIF联合对侧潜行减压治疗腰椎管狭窄症  

Modified TLIF combined with opposite potential decompression for the treatment of lumbar spinal stenosis

作　　者：魏朝阳[1] 赵文[1] 周忠鸿[1] 方成[1] WEI Chao-yang;ZHAO Wen;ZHOU Zhong-hong(Department of Bone Surgery,Naval Hospital of Anqing,Anqing,Anhui 246003,Chin)

机构地区：[1]海军安庆医院骨外科,安徽安庆246003

出　　处：《颈腰痛杂志》2018年第4期445-447,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的研究改良TLIF+对侧潜行减压治疗腰椎管狭窄症。方法对我院20例患者行改良TLIF+对侧潜行减压治疗腰椎管狭窄症手术,观察手术后患者腰腿酸痛恢复情况。结果所有患者手术时间为80~150 min,平均(90±16)min;术中出血190~350 ml,平均(220±12)ml;切口长度5~11 cm,平均(6±1.5)cm。术后随访6月-24个月,平均14.7个月,末次随访时进行疗效评价:其中优14例,良5例,中1例,优良率96.7%。结论单侧入路双侧减压改良TLIF治疗退变性腰椎管狭窄症,其创伤小,疗效可靠。iObjective To study the effect of modified TLIF combined with opposite potential decompression in the treatment of lumbar spinal stenosis. Methods Twenty patients with lumbar spinal stenosis in our hospital were treated by modified TLIF combined with opposite potential decompression, The postoperative recovery of low back pain in patients were observed. Results The operation time was 80-150 min, with an average of （90±16） min. The intraoperative blood loss was 190-350 ml, with an average of （220±12） ml. The incision length was 5-11 cm, with an average of （6±1.5） cm. The patients were followed up for 6-24 months after surgery, with an average of 14.7 months.At the last follow-up, excellent in 14 cases, good in 5 cases, fair in 1 case, the excellent and good rate was 96.7%. Conclusion Unilateral approach, bilateral decompression modified TLIF for degenerative lumbar spinal canal stenosis has less trauma and reliable effect.

关 键 词：改良TLIF 对侧潜行减压 腰椎管狭窄症 手术治疗 

分 类 号：R681.55[医药卫生—骨科学]