摘要
目的 探讨经椎间孔椎体间融合术（TLIF）治疗高位腰椎间盘突出症的手术方法和临床疗效.方法采用TLIF治疗19 例高位腰椎间盘突出症患者,其中13例单侧椎板切除减压,6例全椎板切除减压.采用VAS、ODI标准对总体疗效进行综合评定.结果 手术时间120～170（144±17）min,术中出血量200～450（250±72）ml.术中无脊髓神经根损伤.19例均获随访,时间24～66个月.VAS：术前为7.7分±0.8分,术后24个月为1.9分±0.6分,差异有统计学意义（P＜0.05）.ODI：术前为55.2%±6.3%,术后24个月为23.9%±5.5%,差异有统计学意义（P＜0.05）.无植骨不融合及内固定失败.结论 TLIF治疗高位腰椎间盘突出症可恢复并维持腰椎正常生理曲度,防止术后腰椎失稳,是治疗高位腰椎间盘突出症的有效方法.
Objective To investigate the surgical lnethods and clinical restdts of transforalninal lumbar interbody fu-sion （TLIF） in the treatment of upper lumbar disc herniation. Methods 19 cases with upper lumbar disc herniation undergoing TLIF （13 cases with partial laminectolny,6 cases with total laminectomy） were reviewed retrospectively. The clinical results were evaluated by VAS and ODL Results The mean operation tilne was 120 ～ 170 （ 144±17 ） min,the average intraoperative blood loss was 200 ～450 （250±72） ml and no injury of spinal cord or nerve root hap-pened during the operation. All patients had a follow up period of 24 ～ 66 lnonths. The preoperative VAS and ODI were 7.7 ± 0. 8 and 55.2% ± 6. 3% respectively, 24 lnonths postoperation the counterparts were 1.9 ± 0. 6 and 23.9% ±5.5% respectively,which showed significant reduetion （P 〈0.05）. All cases had bone graft fusion without internal fixation failure. Conclusions TLIF in the treatment of upper lumbar disc herniation is an effective surgical techniques that restores physiological lumbar curve and prevents postoperative instability.
出处
《临床骨科杂志》
2014年第1期20-22,共3页
Journal of Clinical Orthopaedics
