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经椎旁肌间隙入路手术治疗腰椎管狭窄症临床疗效观察 被引量:6

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摘要 目的:评价经椎旁肌间隙入路行腰椎后路椎管减压融合治疗腰椎管狭窄症的临床效果。方法:对收治的68例腰椎管狭窄症患者采用单节段或双节段腰椎管减压、椎间融合内固定术治疗。观察手术切口长度、手术时间、术中出血量、并发症等情况,通过影像学观察融合率,采用视觉疼痛模拟评分、日本骨科学会分数和功能障碍指数评价临床效果。结果:手术切口长度5.2~10.0 cm,中位数7.2 cm;手术时间120~220 min,中位数165 min;术中出血量200~600 mL,中位数300 mL;术后随访12~36个月,中位数23个月,3例出现并发症,其中硬膜撕裂1例,未予修补,术后5 d拔除引流;下肢疼痛1例,给予非甾体类止疼药后缓解;脂肪液化1例,清创后愈合。末次随访显示手术节段均骨性愈合,VAS评分从术前(8.23±1.71)分降至(2.56±1.28)分,JOA评分从术前(11.21±2.88)分增至(22.18±3.02)分,ODI指数从术前(85.4±12.5)%降至(8.7±3.1)%。结论:经椎旁肌间隙入路行腰椎管减压融合内固定治疗腰椎管狭窄症疗效确切,具有创伤小、出血少的优点,手术时间不会明显延长,尽量避免正中切口后深筋膜下潜行分离双侧入路。
出处 《中医正骨》 2014年第5期25-27,共3页 The Journal of Traditional Chinese Orthopedics and Traumatology
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参考文献9

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共引文献20

同被引文献60

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二级引证文献27

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