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Wiltse入路与后正中入路腰椎椎间融合术治疗退变性腰椎间盘疾病的疗效比较

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Keywords: 退变性腰椎间盘疾病,微创,Wiltse入路,椎间融合术

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Abstract:

目的比较Wiltse入路与后正中入路腰椎椎间融合术治疗单节段退变性腰椎间盘疾病的疗效。方法将手术适应症明确的42例单节段退变性腰椎间盘疾病连续病例随机分为两组,其中Wiltse入路组22例在自行设计拉钩辅助下,行经椎间孔腰椎椎间融合术(transforaminallumbarinterbodyfusion,TLIF),后正中入路组20例行后路腰椎椎间融合术(posteriorlumbarinterbodyfusion,PLIF),记录两组患者的手术时间、术中出血量、术后住院时间;采用疼痛视觉模拟评分(visualanaloguescal,VAS)、Oswestry功能障碍指数(oswestrydisabilityindex,ODI)评估两组患者手术后的临床疗效;采用suk法评价两组患者术后椎间融合情况。结果全部病例平均随访14个月。Wiltse入路组术中出血量为(130.5±16.5)mL、术后住院时间为(7±1.5)d,后正中入路组分别为(390.8±24.8)mL、(13±2.5)d,Wiltse入路组明显优于后正中入路组(P0.05)。结论经Wiltse入路与后正中入路治疗退变性腰椎间盘疾病均能达到满意的疗效,但Wiltse入路手术出血少,术后住院时间短,术后腰背痛残留率低,更好的解决了退变性腰椎间盘疾病患者的病痛。

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