MIS-TLIF与传统PLIF手术治疗单节段腰椎管狭窄症效果分析被引量：3

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摘要目的探讨微创经椎间孔入路腰椎间融合术(MIS-TLIF)与传统后路腰椎椎体间融合术(PLIF)治疗单节段腰椎管狭窄症(LSS)的效果及对患者生活质量的影响。方法选取94例LSS患者,根据不同术式分组,各47例。观察组行MIS-TLIF,对照组行传统PLIF。比较2组手术及术后恢复情况。随访6个月,比较2组手术前后腰腿痛(VAS)评分、功能障碍(ODI)评分及生活质量(SF-36)评分。结果与对照组比较,观察组术中出血量及术后引流量少、切口长度小、住院时间短,差异有统计学意义(P<0.05)。2组手术时间差异无统计学意义(P>0.05)。手术前,2组VAS、ODI及SF-36评分差异无统计学意义(P>0.05),术后6个月,观察组VAS及ODI评分均低于对照组,SF-36生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论 MIS-TLIF治疗单节段LSS较传统PLIF创伤小,利于术后恢复及临床症状缓解,可有效改善患者术后生活质量。

作者王欢

机构地区河南安阳地区医院骨一科

出处《河南外科学杂志》 2017年第5期42-44,共3页 Henan Journal of Surgery

关键词单节段腰椎管狭窄症微创经椎间孔入路腰椎间融合术后路腰椎椎体间融合术

分类号 R681.5 [医药卫生—骨科学]

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