年龄对腰椎后路融合术围手术期特点的影响①.pdf

中国康复理论与实践2013 年6 月第19卷第6 期Chin J Rehabil Theory Pract, Jun. 2013, Vol. 19, No. 6 - 517 - DOI: 10.3969/j.issn. 1006-9771.2013.06.005 ·专题· 年龄对腰椎后路融合术围手术期特点的影响① 李文学，高金枝 [摘要] 目的 评价年龄因素对腰椎后路融合术围手术期特点的影响。方法 回顾性收集行腰椎后路融合术的病例共129例 (25~91 岁) 。按照年龄分为对照组(65 岁，n=85)和试验组( 65 岁，n=44) 。观察指标包括美国麻醉医师协会(ASA)评分、融合节 段、估计出血量、并发症和住院时间。结果 试验组ASA 评分显著高于对照组(P0.001) 。两组术后并发症、出血量、手术持续时 间无显著性差异(P0.05) 。结论 年龄偏大并不会增加腰椎后路融合术围手术期的并发症，高龄不应作为手术的禁忌症。 [关键词] 腰椎后路融合术；术后并发症；出血；年龄 Influence of Age on the Perioperative Characteristics of Posterior Lumbar Interbody Fusion LI Wen-xue, GAO Jin-zhi. Department of Orthopaedic, Shengli Hospital of Shengli Petroleum Administration, Dongying 257000, Shandong, China Abstract: Objective To investigate the influence of age on the perioperative characteristics of posterior lumbar interbody fusion (PLIF). Methods 129 patients (25~91 years old) with spondylolisthesis, lumbar stenosis and/or disc degeneration/herniation with instability, or unsuccessful results after a failed previous PLIF. They were divided into control group (65 years old, n=85) and experimental group (  65 years old, n=44). The American Society of Anesthesiologists (ASA) score, the number of fusion segments, estimated blood loss and hos- pital stay were observed. Results The ASA score was higher in the experimental group than in the control group (P0.001). There was no significant difference in complications, estimated blood loss and operative time (P0.05) between 2 groups. Conclusion Age can not in- crease the rate of perioperative complications of PLIF, and the advanced age should not be surgical contraindication. Key words: posterior lumbar interbody fusion; postoperative complication; blood loss; age [中图分类号] R681.5 [文献标识码]