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单切口Quardrant通道下misTLIF与改良PLIF治疗腰椎管狭窄症的疗效比较

蔡俊, 陶玉平, 张亮, 张志强, 杨建东, 冯新民

蔡俊, 陶玉平, 张亮, 张志强, 杨建东, 冯新民. 单切口Quardrant通道下misTLIF与改良PLIF治疗腰椎管狭窄症的疗效比较[J]. 实用临床医药杂志, 2017, (5): 83-85. DOI: 10.7619/jcmp.201705023
引用本文: 蔡俊, 陶玉平, 张亮, 张志强, 杨建东, 冯新民. 单切口Quardrant通道下misTLIF与改良PLIF治疗腰椎管狭窄症的疗效比较[J]. 实用临床医药杂志, 2017, (5): 83-85. DOI: 10.7619/jcmp.201705023
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CAI Jun, TAO Yuping, ZHANG Liang, ZHANG Zhiqiang, YANG Jiandong, FENG Xinmin. Effect comparison between misTLIF with Quadrant passage by single incision and modified PLIF therapy in treating lumbar spinal stenosis[J]. Journal of Clinical Medicine in Practice, 2017, (5): 83-85. DOI: 10.7619/jcmp.201705023
Citation: CAI Jun, TAO Yuping, ZHANG Liang, ZHANG Zhiqiang, YANG Jiandong, FENG Xinmin. Effect comparison between misTLIF with Quadrant passage by single incision and modified PLIF therapy in treating lumbar spinal stenosis[J]. Journal of Clinical Medicine in Practice, 2017, (5): 83-85. DOI: 10.7619/jcmp.201705023
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单切口Quardrant通道下misTLIF与改良PLIF治疗腰椎管狭窄症的疗效比较

  • 江苏省苏北人民医院骨科脊柱外科,江苏扬州,225001

基金项目: 国家自然科学基金青年基金。
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  • 中图分类号: R681.5

Effect comparison between misTLIF with Quadrant passage by single incision and modified PLIF therapy in treating lumbar spinal stenosis

摘要

    摘要
  • 摘要: 目的 评估Quardrant通道下misTLIF治疗腰椎管狭窄的疗效,与改良PLIF手术进行比较.方法 回顾分析85例腰椎管狭窄患者,根据手术方案分为A、B组,A组采用Quardrant通道下采用单侧减压融合(misTLIF)联合双侧椎弓根螺钉内固定手术治疗,B组采用行后路椎体间融合术(改良PLIF)治疗,比较2组患者术后疼痛VAS评分,JOA评分和功能障碍指数ODI评分.结果 A组患者手术出血量显著低于B组(P＜0.05).2组患者术后半年时JOA评分改善率相似.术后2年随访时,A组的ODI评分和VAS评分改善显著优于B组(P＜0.05).结论 Quardrant通道下单侧减压椎间融合双侧椎弓根螺钉固定治疗腰椎管狭窄疗效确切.
    Abstract: Objective To compare the efficacy of misTLIF with Quadrant passage by single incision and modified PLIF surgery in treatment of patients with lumbar spinal stenosis.Methods A total of 85 patients with lumbar spinal stenosis were divided into group A and group B.Group A was treated with misTLIF with Quadrant passage by single incision and bilateral pedicle screw fixation,while group B was treated with the modified PLIF.The postoperative VAS score,JOA score and ODI score were compared.Results The surgical blood loss of group A was significantly lower than group B (P ＜ 0.05).The JOA score improvement rate after treatment was similar between two groups.Two years later,the ODI score and VAS score in group A were significantly better than group B (P ＜0.05).Conclusion The misTLIF with Quadrant passage by single incision and bilateral pedicle screw fixation is effective in treatment of patients with lumbar spinal stenosis.
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    1. 郑建章，吴宏，林蕴硕，胡世平. Quadrant通道下单切口MIS-TLIF治疗单节段腰椎管狭窄. 中国骨科临床与基础研究杂志. 2020(Z1): 291-296 . 百度学术
    2. 潘共华. 改良椎间孔腰椎体间融合术治疗退行性腰椎管狭窄症的临床效果. 临床合理用药杂志. 2019(24): 112-113 . 百度学术
    3. 薛书生. 椎弓根内固定联合PLIF对峡部裂型腰椎滑脱症患者JOA、ODI评分的影响. 医学食疗与健康. 2019(17): 84+87 . 百度学术

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