微创经椎间孔椎间融合术与开放术式治疗腰椎退行性病变的效果分析(1)

http://www.100md.com 2015年9月25日 中外医疗2015年第27期

     [摘要] 目的 探讨微创经椎间孔椎间融合术与开放术式治疗腰椎退行性病变的效果。方法 研究对象整群选取于该院2013年6月—2014年6月接诊的86例腰椎退行性病变患者，随机将患者均分为对照组与观察组。对照组患者给予开放术式治疗；观察组患者给予微创经椎间孔椎间融合术治疗。统计两组手术时长、术中出血量、住院时间、VAS评分，观察两组患者治疗效果。结果 对照组与观察组治疗总有效率分别为：88.4%和90.7%，对比差异无统计学意义(P>0.05)；手术时间，术中出血量、住院时间、术后VAS评分组间对比均差异有统计学意义(P<0.05)。结论 微创经椎间孔椎间融合术与开放术式治疗腰椎退行性病变效果相同，较后者，前者手术创伤小，疼痛感低，更利于术后尽早康复。

    [关键词] 微创经椎间孔椎间融合术；开放术式；腰椎退行性病变

    [中图分类号] R7 [文献标识码] A [文章编号] 1674-0742(2015)09(c)-0062-03

    [Abstract] Objective To explore the effect of minimally invasive transforaminal lumbar interbody fusion (TLIF) with open surgical treatment for treating lumbar degenerative change. Methods 86 cases of patients with lumbar degenerative change admitted into the hospital from June 2013 to June 2014 were selected as the research objects and were randomly divided into the control group and the observation group. The control group was treated with open surgery while the observation group was treated with minimally invasive TLIF. The operation time ......