双侧TLIF技术治疗腰椎滑脱症

李勇; $2; 徐王兵

文章摘要

李勇杜健徐王兵.双侧TLIF技术治疗腰椎滑脱症[J].实用中西医结合临床,2018,18(1):6-8

双侧TLIF技术治疗腰椎滑脱症

Bilateral TLIF Technique Treatment of Lumbar Spondylolisthesis

DOI：

中文关键词: 腰椎滑脱腰椎不稳经椎间孔椎间融合术手术经验

英文关键词: Lumbar spondylolisthesis Lumbar spine instability TLIF Surgical experience

基金项目:

作者	单位
李勇杜健徐王兵	江西中医药大学附属医院；江西中医药大学2015级硕士研究生

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中文摘要:

目的：探讨双侧经椎间孔椎间融合术（TLIF）技术治疗腰椎节段性滑脱的临床疗效及手术经验。方法：选择2013年6月~2015年11月67例腰椎滑脱患者，行双侧TLIF减压与钉棒内固定术，并进行分析。评价标准：视觉模拟评价法（VAS），功能障碍指数（ODI）评分，影像学观察滑脱角、椎间隙高度、椎体滑移距离及手术用时、出血量、并发症情况。结果：所有患者均顺利完成手术，随访3~11个月，2例拒绝接受随访，2例随访中失去联系。滑脱角、椎体滑移距离、椎间隙高度均恢复良好，融合情况可。VAS评分：术前（8.59±0.91）分，术后1周（1.62±0.79）分，末次随访（1.09±0.49）分；ODI评分：术前（48.6±5.6）分,术后1周（13.5±2.3）分,末次随访（11.8±2.6）分。手术前后差异具有统计学意义（P＜0.05）。结论：双侧TLIF对腰椎滑脱的治疗效果明显，对于恢复腰椎的稳定、缓解疼痛、功能改善是安全、可行、有效的。

英文摘要:

Objective: To investigate the clinical efficacy and surgical experience of bilateral TLIF technique treatment of lumbar spondylolisthesis. Method: From June 2013 to November 2015, 67 patients with lumbar spondylolisthesis were selected, treated by bilateral TLIF technique compression and screw rod fixation and analyzed. Evaluation criteria: Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), imaging observation slip angle, height of intervertebral disc, vertebral slip distance, and the operation time, blood loss, complications. Results: All patients were successfully completed surgery and were followed up for 3~11 months, 2 patients refused follow-up, and 2 patients lost contact during the follow-up. The slip angle, vertebral slip distance, and the height of intervertebral disc were all recovered well, and the VAS score was: preoperative (8.59±0.91), 1 week after surgery (1.62±0.79), the final follow-up (1.09± 0.49); the ODI score: preoperative (48.6±5.6), 1 week after surgery (13.5±2.3), final follow-up (11.8±2.6). The difference was statistically significant (P＜0.05). Conclusion: The bilateral TLIF has obvious therapeutic effect on lumbar spondylolisthesis, and it is safe, feasible and effective for recovering the stability of lumbar vertebra and relieving pain and function.

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