[1]刘成升,储建军,刘艺明,等.双节段MIS-TLIF手术单边固定与双边固定治疗单侧两个节段腰椎退行性病变的疗效比较[J].医学信息,2021,34(06):136-138.[doi:10.3969/j.issn.1006-1959.2021.06.035]
　LIU Cheng-sheng,CHU Jian-jun,LIU Yi-ming,et al.Comparison of the Effect of Unilateral Fixation and Bilateral Fixation in the Treatment of Unilateral Two-segment Lumbar Degenerative Disease in Two-segment MIS-TLIF Surgery[J].Medical Information,2021,34(06):136-138.[doi:10.3969/j.issn.1006-1959.2021.06.035]
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双节段MIS-TLIF手术单边固定与双边固定治疗单侧两个节段腰椎退行性病变的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年06期
页码:
136-138
栏目:
临床研究
出版日期:
2021-03-15

文章信息/Info

Title:
Comparison of the Effect of Unilateral Fixation and Bilateral Fixation in the Treatment of Unilateral Two-segment Lumbar Degenerative Disease in Two-segment MIS-TLIF Surgery
文章编号:
1006-1959（2021）06-0136-03
作者:
刘成升; 储建军; 刘艺明; 等
（安徽医科大学第三附属医院脊柱骨科，安徽 合肥 230001）
Author(s):
LIU Cheng-sheng; CHU Jian-jun; LIU Yi-ming; et al.
(Deparment of Spine and Orthopedic,the Third Affiliated Hospital of Anhui Medical University,Hefei 230001,Anhui,China)
关键词:
MIS-TLIF; 单边固定; 腰椎间盘突出
Keywords:
MIS-TLIF; Unilateral fixation; Lumbar disc herniation
分类号:
R681.5+3
DOI:
10.3969/j.issn.1006-1959.2021.06.035
文献标志码:
A
摘要:
目的 探析微创经椎间孔椎间融合术（MIS-TLIF）联合单边固定与双边固定治疗单侧两个节段腰椎退行性病变的疗效比较。方法 回顾性分析2015年8月~2018年8月我院收治的140例腰椎退行性疾病患者，根据治疗方法不同分为单边固定组和双边固定组，每组70例。单边固定组采取MIS-TLIF+单侧椎弓根螺钉固定，双边固定组采取MIS-TLIF+双侧椎弓根螺钉固定，比较两组围手术期指标、术前术后VAS评分、ODI评分及术后并发症。结果 单边固定组手术时间、术中出血量、术后引流量优于双边固定组（P＜0.05）；两组术后7 d、3个月、1年VAS评分、ODI评分较术前降低（P＜0.05），但组间比较，差异无统计学意义（P＞0.05）；两组融合器位移、切口感染发生率比较，差异无统计学意义（P＞0.05）。结论 在MIS-TLIF治疗连续两个节段的腰椎退行性病变中，单边固定与双边固定均具有一定的疗效，但单边固定相较于双边固定在手术时间、术中出血量、术后引流量等方面更具优势。
Abstract:
Objective To explore the comparison of the efficacy of minimally invasive transforaminal interbody fusion (MIS-TLIF) combined with unilateral fixation and bilateral fixation in the treatment of unilateral two-segment lumbar degeneration.Methods A retrospective analysis of 140 patients with lumbar degenerative diseases admitted to our hospital from August 2015 to August 2018.According to different treatment methods, they were divided into unilateral fixation group and bilateral fixation group, with 70 cases in each group.The unilateral fixation group was fixed with MIS-TLIF+ unilateral pedicle screw, and the bilateral fixation group was fixed with MIS-TLIF+bilateral pedicle screw.The perioperative indexes, preoperative and postoperative VAS score, ODI score and postoperative complications were compared between the two groups.Results The operation time, intraoperative blood loss and postoperative drainage volume of the unilateral fixation group were better than those of the bilateral fixation group (P＜0.05);The VAS scores and ODI scores of the two groups at 7 d, 3 months, and 1 year after operation were lower than those before operation (P＜0.05).However, the difference between the groups was not statistically significant (P>0.05);There was no significant difference in the incidence of fusion cage displacement and incision infection between the two groups (P>0.05).Conclusion In the treatment of MIS-TLIF for two consecutive levels of lumbar degenerative disease, unilateral fixation and bilateral fixation have certain curative effects, but compared with bilateral fixation, unilateral fixation is more effective in operation time, intraoperative blood loss, and postoperative blood loss. It has more advantages in terms of drainage and other aspects.

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更新日期/Last Update: 1900-01-01