殷军,王宁,李爱民,张丙磊,赵玉麟,张路

• 1:青岛市骨伤科医院脊柱二科

摘要(Abstract)：

[目的]评价经椎间孔外侧椎体间融合(ELIF)联合单侧椎弓根钉内固定治疗腰椎退行性病变的临床疗效。[方法]2008年11月~2010年12月治疗腰椎退行性疾病28例,均采用单侧经椎间孔外侧椎间融合联合单侧椎弓根钉内固定。应用视觉模拟评分系统(VAS)、Oswestry功能障碍指数评分系统(ODI)和SF-36评估患者术后疼痛及功能恢复情况,并对手术时间、出血量、融合率及并发症发生率等进行统计分析。[结果]所有患者获得随访,平均随访时间为16.3个月(12~22个月)。手术时间为(88.3±26.4)min,术中出血量为(122.4±30.2)ml;腰腿痛VAS评分分别由术前的(7.6±1.2)分降至末次随访时的(2.7±0.6)分;ODI评分从术前的(42.2±11.8)分降至末次随访时的(15.6±2.3)分;SF-36PF术前为(30.64±5.04),末次随访时升至(48.55±6.12);SF-36BP术前为(28.91±5.03),最后随访时为(51.73±11.05);融合率为96.4%(27/28)。VAS评分、ODI评分、SF-36PF、SF-36BP术前与末次随访比较差异有显著性意义(P<0.05)。[结论]ELIF手术技术具有切口小、出血少,不破坏正常结构,手术时间短,功能恢复满意的优点,是治疗腰椎退行性疾病非常有效的方法之一,但应严格掌握适应证。

关键词(KeyWords)： 微创;经椎间孔外侧;椎间融合;单侧椎弓根螺钉固定;退行性疾病

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 殷军,王宁,李爱民,张丙磊,赵玉麟,张路

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