摘要
目的分析腰椎退变性疾病者行微创经椎间孔减压腰椎融合内固定手术(MIS-TLIF)医治的临床疗效。方法对本院2012年12月至2017年12月收治腰椎退变性疾病60例患者临床资料加以分析,且依据不同医治方法分为两组,将行后路开放术治疗的30例患者作为对照组,将行MIS-TLIF治疗的30例患者作为研究组,比较两组手术指标、肌酸磷酸激酶水平和并发症。结果研究组出血量(244.20±30.11)ml和引流量(85.50±22.36)ml均比对照组少,手术用时(146.74±30.65)min比对照组长,下床活动的时间(2.30±0.21)d比对照组短(P<0.05);研究组手术后1天、3天、5天肌酸磷酸激酶水平均比对照组优,且总并发症率比对照组低(P<0.05)。结论腰椎退变性疾病者行MIS-TLIF医治可优化手术指标和肌酸磷酸激酶水平,且减少并发症发生。
Objective To analyze the clinical efficacy of minimally invasive transforaminal lumbar fusion and internal fixation （MIS-TLIF） in the treatment of lumbar degenerative diseases. Methods The clinical data of 60 patients with degenerative lumbar degenerative disease from December 2012 to December 2017 were analyzed. According to different treatment methods, 30 patients were divided into two groups. 30 patients treated with posterior open surgery were used as control group. Thirty patients who underwent MIS-TLIF treatment were included in the study group. The surgical parameters, creatine phosphokinase levels and complications were compared between the two groups. Results The bleeding volume （244.20±30.11） ml and drainage volume （85.50±22.36） ml were lower in the study group than in the control group. The time of operation （146.74±30.65） min was longer than that of the control group, and the time of getting out of bed （2.30±0.21）d The control group was shorter than the control group at 1 day, 3 days, and 5 days after surgery, and the total complication rate was lower than that of the control group （P〈0.05）. Conclusion MIS-TLIF treatment for lumbar degenerative diseases can optimize surgical parameters and creatine phosphokinase levels and reduce complications.
作者
王化明
Wang Huaming(The Second Department of Orthopaedics,Center Hospital of Xinwen Mining Group Co.,LTD.,Tai＇an,Shandong 271200,China)
出处
《当代医学》
2018年第34期91-93,共3页
Contemporary Medicine
