微创及传统开放手术治疗腰椎退行性疾病临床比较  

Comparison of clinical effects of minimally invasive surgery and traditional open surgery on lumbar degenerative diseases

作　　者：李毅嵩 王庆敏[1] 吴志君[1] 陈天顺[1] 胡冬平[1] 郑庆丰[1] LI Yisong;WANG Qingmin;WU Zhijun;CHEN Tianshun;HU Dongping;ZHENG Qingfeng(Department of Spinal Surgery,Zhangzhou Traditional Chinese Medicine Hospital, Zhangzhou 363000,China)

机构地区：[1]漳州市中医院脊柱外科,漳州363000

出　　处：《外科研究与新技术》2017年第4期253-255,共3页Surgical Research and New Technique

摘　　要：目的探究临床治疗腰椎退行性疾病患者的过程中,对比应用微创经椎间孔减压腰椎融合内固定术与传统后路开放手术的临床效果,为临床腰椎疾病治疗奠定基础。方法 2016年1月—2017年2月期间收治的64例退行性腰椎关节源性腰痛患者,对比患者应用不同治疗措施进行治疗并观察临床效果。结果研究组予以微创经椎间孔减压腰椎融合内固定术治疗的患者的切口长度、术后引流量及住院时间等手术完成情况、VAS评分、ODI评分均显著优于对照组患者,差异有统计学意义(P<0.05)。结论在临床治疗腰椎退行性疾病患者的过程中,可用微创经椎间孔减压腰椎融合内固定术可显著提升手术完成情况,有利于各项评分的改善,可广泛推广。Objective To compare the clinical effects of minimally invasive transforaminal decompression of lumbar fusion with internal fixation and conventional posterior open surgery on lumbar degenerative diseases,and provide a basis for treatment of clinical lumbar diseases.Methods From January 2016 to January 2017,a total of 64 cases of degenerative lumbar joint discogenic back pain were recruited to observe the clinical effects of different treatments.Results The patients who had minimally invasive transforaminal decompression of lumbar fusion with internal fixation showed better results of length of incision,postoperative drainage volume,hospital stay,VAS score,and ODI score than those who had conventional surgery,and the differences were significant(P<0.05).Conclusion For lumbar degenerative diseases,minimally invasive transforaminal decompression of lumbar fusion with internal fixation can significantly improve operation completion and various postoperative scores,and is worth promoting.

关 键 词：腰椎退行性疾病 微创椎间孔减压腰椎融合内固定术 传统后路开放手术 效果 

分 类 号：R687.3[医药卫生—骨科学]