| 陈宣煌,许卫红,胡建伟,陈荣生,李贵双,张怀志,郑祖高.小切口椎旁肌间隙入路和传统开放式入路腰椎后路融合术的比较[J].脊柱外科杂志,2012,10(2):101-104. |
小切口椎旁肌间隙入路和传统开放式入路腰椎后路融合术的比较  点此下载全文 (Fulltext) |
| 陈宣煌 许卫红 胡建伟 陈荣生 李贵双 张怀志 郑祖高 |
| 351100 福建, 莆田学院附属医院骨科;福建医科大学附属第一医院脊柱外科;福建医科大学附属第一医院脊柱外科;福建医科大学附属第一医院脊柱外科;福建医科大学附属第一医院脊柱外科;351100 福建, 莆田学院附属医院骨科;351100 福建, 莆田学院附属医院骨科 |
| 基金项目： |
| DOI：10.3969/j.issn.1672-2957.2012.02.011 |
| 摘要点击次数: 1722 |
| 全文下载次数: 1064 |
| 摘要： |
| 目的 比较小切口椎旁肌间隙入路和传统开放式入路行腰椎后路融合术的临床疗效。方法 2008~2009年，22例患者行腰椎后路融合术，小切口椎旁肌间隙入路方式12例，传统手术入路方式10例。患者均随访1年。记录手术时间、术中出血量、术后引流量、术前术后疼痛视觉模拟量表（visual analog scale，VAS）评分、Oswestry功能障碍指数（Oswestry disability index，ODI）评分及腰椎MRI所示的多裂肌横截面面积。结果 2组间各项观察指标比较差异均有统计学意义（P<0.05）。小切口椎旁肌间隙入路患者手术前后L4/L5/S1各平面的多裂肌面积差异无统计学意义，传统入路手术前后的差异有统计学意义（P<0.05）。结论 小切口椎旁肌间隙入路可明显减少对多裂肌的损伤，有利于患者术后的恢复。 |
| 关键词：腰椎 椎间盘移位 脊椎滑脱 脊柱融合术 |
| Comparative analysis of lumbar posterior intervertebral fusion between minimally invasive Wiltse approach and traditional midline approach Fulltext |
| CHEN Xuan-huang XU Wei-hong HU Jian-wei CHEN Rong-sheng LI Gui-shuang ZHANG Huai-zhi ZHENG Zu-gao |
| Department of Orthopaedics, Affiliated Hospital of Putian University, Putian 351100, Fujian, China;Department of Orthopaedics, Affiliated Hospital of Putian University, Putian 351100, Fujian, China;Department of Orthopaedics, Affiliated Hospital of Putian University, Putian 351100, Fujian, China |
| Fund Project: |
| Abstract: |
| Objective To comparison the clinical outcomes of lumbar intervertebral fusion between Wiltse approach and traditional approach. Methods A total of 22 patients undergoing lumbar intervertebral fusion by Wiltse approach (12 cases) or traditional approach(10 cases) from 2008 to 2009 were involved, and all of the patients were followed up for 1 year. The operative duration, blood loss, postoperative draining, pre-and postoperative scores of visual analog scale(VAS) and Oswestry disability index (ODI), and transverse section of multifidus muscles on MRI were evaluated. Results The differences of all items between Wilitse approach and traditional approach were statistically significant (P<0.05). The difference of cross sectional area of multifidus muscle of Wilitse approach cases between pre-and post-operation wasn't statistically significant (P>0.05), but that of traditional approach cases was statistically significant (P<0.05).Conclusion Wiltse approach causes less paraspinal muscle damdge, and is beneficial to recovery. |
| Keywords:Lumbar vertebrae Intervertebral disk displacement Spondylolysis Spinal fusion |
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