| 任佳彬 孙兆忠△ 房清敏 任强 李瑞 耿晓鹏.微创经椎间孔及后路腰椎椎间融合术对腰椎滑脱症患者术后隐性失血的
影响[J].,2016,16(12):2306-2308 |
| 微创经椎间孔及后路腰椎椎间融合术对腰椎滑脱症患者术后隐性失血的
影响 |
| Influence of Minimally Invasive Surgery-Transforaminal Lumbar andPosterior Lumbar Interbody Fusion on Postoperative Hidden Blood Loss inPatients with Lumbar Spondylolisthesis |
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| DOI： |
| 中文关键词: 经椎间孔腰椎融合 微创 后路腰椎融合 隐性失血 腰椎滑脱症 |
| 英文关键词: Transforaminal lumbar interbody fusion Minimally invasive Posterior lumbar interbody fusion Hidden blood loss Lumbar spondylolisthesis |
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| 中文摘要: |
| 目的：探究微创经椎间孔腰椎间融合术(MIS-TLIF)与后路腰椎椎间融合术(PLIF)对腰椎滑脱症患者术后隐性失血的影响。方
法：选取2014 年03 月~2014 年08 月腰椎滑脱症患者共48 例，其中行MIS-TLIF 术治疗患者23 例，行PLIF 术治疗患者25 例，
记录两组手术相关指标，及手术前后红细胞平均压积(Hct)，依据Gross 循环血量线性方程计算患者失血总量及隐性失血量，比较
两组患者术后并发症情况。结果：MIS-TLIF组手术时间长于PLIF组（P<0.05），而住院时间明显少于PLIF 组（P<0.05）；MIS-TLIF
组患者隐性失血量低于PLIF 组（P＜0.05）；MIS-TLIF组术后并发症发生率低于PLIF组（P＜0.05）。结论：与传统PLIF术式相比，
MIS-TLIF 治疗腰椎滑脱症具有隐性失血少，术后并发症少，恢复快的优点，值得临床推广。 |
| 英文摘要: |
| Objective:To explore the influence of minimally invasive surgery-transforaminal lumbar interbody fusion(MIS-TLIF)
and posterior lumbar interbody fusion(PLIF) on the postoperative hidden blood loss in patients with lumbar spondylolisthesis.Methods:A
total of 48 patients with lumbar spondylolisthesis (23 patients undergoing MIS-TLIF, 25 patients undergoing PLIF), who were treated in
Affiliated Hospital of Binzhou Medical College from March 2014 to August 2014, were selected. The surgery related indexes and the
hematocrit (hct) values before and after surgery of the two groups were recorded; the total bleeding volume and hidden blood loss were
calculated by the Gross formula;the incidence of complications in the two groups after surgery was compared.Results:The surgery time
in MIS-TLIF group was longer than that in PLIF group (P<0.05), but the hospital time in MIS-TLIF group was shorter than that in PLIF
group(P<0.05). The hidden blood loss in MIS-TLIF group was lower than that in PLIF group(P<0.05). The incidence of complications in
MIS-TLIF group was lower than that in PLIF group (P<0.05).Conclusion:Compared with the traditional PLIF in treatment of lumbar
spondylolisthesis, MIS-TLIF has the advantages of less hidden blood loss, fewer complications,and faster recovery, which is worthy of
promotion in clinical field. |
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