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X-Tube辅助下改良单侧PLIF治疗退行性腰椎疾病 被引量：3

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摘要 目的探讨内窥镜扩张通道管（X-Tube）系统辅助下改良单侧腰椎椎体间融合术（M-PLIF）治疗退行性腰椎病变的可行性及临床疗效。方法应用X-Tube辅助下改良单侧PLIF术治疗退行性腰椎病变,患者29例,其中椎间盘源性腰痛8例,椎间盘突出伴椎间隙狭窄5例,腰椎间盘突出症术后复发3例,腰椎管狭窄症13例,L4-5节段18例,L5-S1节段11例。结果29例患者手术时间平均145分钟;出血平均350ml。所有患者获随访,随访时间9-23个月,平均15个月。VAS疼痛评分由术前（7.3±6.7）分降至末次随访（1.3±0.5）分;ODI功能障碍评分由术前（44.8±7.1）分降至末次随访（2.6±4.5）分;手术疗效,优19例、良7例、可3例。结论X-Tube辅助下单侧神经根减压椎间植骨融合内固定术治疗腰椎间盘退行性疾病具有术中出血量少、创伤小、术后恢复快、近期疗效确切等优点。是临床上可行、实用的一种微创术式,适用于L2-3至L5-S1节段病变的治疗,但由于X-Tube工作通道能提供的操作空间有限,手术视野小,所以术中的操作顺序以及术前的病例选择尤其重要。
作者 王健 张春
机构地区 浙江省立同德医院
出处 《浙江实用医学》 2010年第3期199-201,共3页 Zhejiang Practical Medicine
关键词 椎体间融合术 X-TUBE 腰椎间盘 退行性疾病
分类号 R687.3 [医药卫生—骨科学]
  • 相关文献

参考文献7

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二级参考文献12

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共引文献54

同被引文献27

  • 1邱贵兴.骨科学高级教程[M].北京:人民军医出版社,2010:184-189.
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  • 9陈家麟,茅祖斌,吴小涛.四种经椎间孔腰椎间融合固定方式的三维有限元分析[J].中国组织工程研究与临床康复,2008,12(39):7605-7610. 被引量：18
  • 10陈远武,易伟宏,刘春利,张德仁,王锡三,胡广询,王尔天,王敏,黄曹,刘赫,罗万荣.METR_X内窥镜辅助X-Tube下减压、融合、内固定治疗腰椎退变性疾病[J].临床骨科杂志,2009,12(3):254-256. 被引量：6

引证文献3

二级引证文献11

浙江实用医学
2010年 第3期

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