| 张春浩 徐斌 滕勇 陈建常 马锐 戎 帅 张屹 安 伟.MA-OTIF 与 MIS-TLIF 治疗老年腰椎退行性病变的近期疗效的病例对照研究[J].,2015,15(7):1286-1289 |
| MA-OTIF 与 MIS-TLIF 治疗老年腰椎退行性病变的近期疗效的病例对照研究 |
| Comparative Study on Application of MA-OTIF and MIS-TLIF in theTreatment of Recent Curative Effect of Senile Lumbar Degenerative DiseaseCases |
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| DOI： |
| 中文关键词: 腰椎 退行性病变 小切口开放经椎间孔腰椎椎体间 融合术 微创经椎间孔融合术 |
| 英文关键词: Lumbar degenerative MA-OTIF MIS-TLIF |
| 基金项目:国家自 然科学基金项目 (31360229) |
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| 中文摘要: |
| 目的： 比较小切口开放经椎间孔腰椎椎体间 融合术(MA-OTIF)与 微创经椎间 孔融合术(MIS-TLIF)治疗 老年性腰椎退行性病
变的 近期疗效。 方法： 收集 2010 年 1 月 -2013 年 1 月 我院收治的老年性腰椎退行性病变患者， 根据治疗 方式不同 ，选择行
MA-OTIF 治疗者作为研究组，行 MIS-TLIF 者作为对照组， 按一定条件以 1 :1 比例进行配对研究， 比较两组患者的手术相关指标
及术前和术后的视觉模拟评分(VAS)和功能障碍评分(ODI)。 结果： 本研究共纳入 60 例患者，均完成至少 1 年的随访， 平均随访时
间 1 .36 年。与 MIS-TLIF 组比较， MA-OTIF 组的手术时间明显缩短， X 线透视次数显著减少、术中出血量明显增加，差异均有统计
学意义(P<0.05)，但两组的住院时间比较均无明显统计学差异(P>0.05)。 两组术后 VAS 和 ODI 评分均较术前显著降低， 差异具有
统计学意义(P<0.05)， 但两组术前与术后 VAS 和 ODI 评分比较均无显著性差异(P>0.05)。 随访期间， 两组均未发生神经根损伤、手
术部位感染和椎弓 根螺钉断裂等不良情况。 结论： MA-OTIF 与 MIS-TLIF 治疗老年性腰椎退行性病变近期疗效相似， MA-OTIF 兼
备 OTLIF 和 MIS-TLIF 的优势。 |
| 英文摘要: |
| Objective:To compare the short-term curative effect ofmini open transforaminal lumbar interbody fusion (MA-OTIF) and
minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in the treatment of senile lumbar degenerative disease.Methods:Elderly patients with spinal degenerative diseases admitted in our hospital from January 201 0 to January 2013 admitted were selected.
According to the different treatment methods, the patients treated by MA-OTIF were selected as research group, while the patients treated
by MIS-TLIF were selected as control group. The operative index, preoperative and postoperative visual analogue scale (VAS) and dysfunction score (ODI) scores were compared between two groups.Results:60 patients completed at least 1 year of follow-up, the mean
follow-up period was 1.36 years. Compared with MIS-TLIF group, the MA-OTIF group had significantly shorter operation time, lower
times of X-ray and more intreoperative bleeding(P<0.05), but no significant difference was found in the hospital stay between two groups
(P>0.05). The postoperative VAS and ODI scores of both groups were significantly decreased than those before operation (P<0.05), but
no significant difference was observed in the preoperative and postoperative VAS and ODI score between two groups (P>0.05). During
the follow-up visit, no nerve root injury, operation site infection and breakage of pedicle screws and other adverse conditions was observed in both groups.Conclusion:The recent therapeutic effect of MA-OTIF in the treatment of senile lumbar degeneration was equal to
MIS-TLIF, MA-OTIF had the advantages of both MIS-TLIF and OTLIF. |
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