毛克亚;王岩;肖嵩华;张永刚;刘保卫;张西峰;崔庚;张雪松;程自申;李鹏;

• 1:解放军总医院骨科

摘要(Abstract)：

[目的]观察直视下微创(minimally invasive,MIS)采用普通椎弓根螺钉完成单节段经椎间孔腰椎融合(transforaminal lumbar interbody fusion,TLIF)的临床结果。[方法]2007～2009年期间26例患者直视下进行单节段腰椎MIS-TLIF手术,45例患者采用Open-TLIF进行单节段腰椎手术,均采用普通椎弓根螺钉内固定,比较两组临床效果。[结果]MIS组术中出血量、术后引流量、下地活动时间和平均住院日均明显低于Open组,术后5 d MIS组腰痛VAS评分优于Open组,而两组腿痛VAS、ODI评分和融合率无显著差异。[结论]直视下MIS与Open两组同样具有长期优良的临床治疗结果,但是MIS组的手术出血量、术后引流量、下地活动时间、术后住院时间和术后短期腰痛均优于Open组。

关键词(KeyWords)： 经椎间孔腰椎融合术;微创手术;切开手术;临床结果

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金(编号:39670731);; 国家863计划(编号:2009AA02Z405)

作者(Author): 毛克亚;王岩;肖嵩华;张永刚;刘保卫;张西峰;崔庚;张雪松;程自申;李鹏;

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DOI:

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