王博;毛克亚;王岩;肖嵩华;张永刚;张权;顾挺帅;

• 1:解放军总医院骨科

摘要(Abstract)：

[目的]探讨微创经椎间孔腰椎体间融合术(minimally invasive transforaminal lumbar interbody fusion,MISTLIF)治疗75岁以上老年人单节段腰椎退性行疾病的临床效果。[方法]回顾性分析2009年6月~2012年6月,因单节段腰椎管狭窄症、腰椎间盘突出症接受腰椎融合手术治疗的75岁以上患者41例,18例接受直视下MIS-TLIF,23例接受传统开放经椎间孔腰椎体间融合术(Open-TILF),术后随访2年,比较两组临床效果及并发症。[结果]两组一般资料比较差异无统计学意义(P>0.05);MIS组术后发生并发症1例(5.6%),Open组7例(30.4%),两组间差异有统计学意义(P<0.05);MIS组术中出血量、术后引流量、下地时间和术后住院时间均低于Open组(P<0.01),术后5 d MIS组腰痛VAS评分优于Open组(P<0.05),随访期间两组间ODI评分、腰腿痛VAS评分均明显优于术前(P<0.05),术后2年融合率差异无统计学意义(P>0.05)。[结论]75岁以上老年人MIS-TLIF手术临床效果肯定,创伤小、恢复快、术后并发症少。

关键词(KeyWords)： 微创手术;脊柱融合术;老年患者;治疗效果

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金(项目编号:51372276)可注射磷酸镁骨水泥的制备新技术及其水化硬化机制研究

作者(Author): 王博;毛克亚;王岩;肖嵩华;张永刚;张权;顾挺帅;

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