经侧方入路腰椎融合术(LLIF)的研究进展

A literature review of lateral lumbar interbody fusion technique

腰椎融合方法较多,经侧方入路腰椎融合术(lateral lumbar interbody fusion,LLIF)是近年发展起来的融合方法,与经后方入路(posterior lumbar interbody fusion,PLIF)、椎间孔入路(transforaminal lumbar interbody fusion,TLIF)以及前方入路(anterior lumbar interbody fusion,ALIF)是临床上比较常用的腰椎融合方法。LLIF是一种微创手术,与其他手术方式相比,术中出血少,创伤小,康复时间短,并发症少,既可避免前方大血管损伤的风险,也可减少后方肌肉、关节突等组织的破坏,但LLIF是否优于其他手术方法尚无统一定论,需要大量的临床试验研究。

Many surgical approaches, such as posterior lumbar interbody fusion （PLIF）, transforaminal lumbar interbody fusion （TLIF） as well as anterior lumbar interbody fusion （ALIF） , are commonly applied in traditional lumbar vertebral fusion surgery. As a new developed technique, lateral lumbar interbody fusion （LLIF） is a minimally invasive surgery technique, and has been developed quickly in recent years. It has advantages of less blood loss, less invasion, lower complications rate and less rehabilitation time period. Meanwhile, this technique can not only reduce the risk of vascular injury, but also avoid damage of back structure, such as muscles and bones. By now, however, there is no conclusive evidence to prove that LLIF is better than other surgical approaches and a variety of clinical research trials is still needed to look for the answers.