MIS-TLIF治疗腰椎退行性疾病研究现状及展望  

Research status quo and prospect of MIS-TLIF in treatment of lumbar degenerative diseases

作　　者：舒建川 杨程显(综述) 李淳德[1] 于峥嵘(审校)[1] SHU Jianchuan;YANG Chengxian;LI Chunde;YU Zhengrong(Department of Orthopedics,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院骨科,北京100034

出　　处：《重庆医学》2023年第13期2056-2062,2071,共8页Chongqing medicine

摘　　要：微创经椎间孔腰椎椎间融合术(MIS-TLIF)是治疗腰椎退行性疾病(LDD)的成熟手术方式之一。与传统开放腰椎融合术比较,MIS-TLIF具有出血少、住院时间短、复工快、术后早期疼痛缓解、功能恢复快等优势,并且远期能达到与开放手术基本相同,甚至更佳的疗效。同时,MIS-TLIF在降低手术并发症发生率方面也具有一定优势。随着手术器械和技术的发展进步,MIS-TLIF存在的手术视野受限、学习曲线陡峭、射线暴露多等问题有望逐步得到改善。Minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF)is one of the mature surgical methods for the treatment of lumbar degenerative diseases(LDD).Compared with traditional open lumbar fusion,MIS-TLIF has the advantages of less bleeding,shorter hospital stay,faster return to work,early postoperative pain relief and faster functional recovery,and can achieve the same or even better long-term clinical outcome than open surgery.Meanwhile,MIS-TLIF has the advantages in reducing the incidence rate of surgical complications.With the development and progress of surgical instruments and technology,the existing problems of MIS-TLIF,such as the limited surgical field of view,steep learning curve and excessive radiation exposure,are expected to be gradually improved.

关 键 词：微创经椎间孔腰椎椎间融合术 腰椎退行性疾病 安全性 有效性 

分 类 号：R615[医药卫生—外科学]