Quadrant通道系统TLIF与传统TLIF方法治疗腰椎间盘突出症的效果比较.docVIP

Quadrant通道系统TLIF与传统TLIF方法治疗腰椎间盘突出症的效果比较 　　[摘要] 目的 比较Quadrant通道系统TLIF与传统TLIF方法治疗腰椎间盘突出症的效果。 方法 选择十堰市太和医院2014年1月～2015年1月收治的腰椎间盘突出症患者160例，按照随机数字表法随机分为两组，每组各80例。对照组采用传统TLIF方法，观察组采用Quadrant通道系统TLIF方法，评价治疗效果。 结果 两组在切开长度、术中出血量、术后引流量、下床时间、术后住院时间比较，差异有统计学意义（P 0.05）。影像学结果示钉棒固定完好，椎间融合好，融合器无移位。 结论 Quadrant通道系统TLIF术治疗腰椎间盘突出症效果显著，安全性好。针对复杂性及多节段腰椎退变性疾病的治疗，应针对患者的具体情况制订个体化的方案。 　　[关键词] Quadrant通道系统；TLIF；腰椎间盘突出症 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1673-7210（2016）04（c）-0097-05 　　[Abstract] Objective To compare the effect of Quadrant TLIF channel system and the traditional TLIF method in the treatment of lumbar intervertebral disc protrusion. Methods 160 patients with lumbar disc prolapsed in Taihe Hospital of Shiyan City from January 2014 to January 2015 were collected， and they were randomly divided into two groups of observation group and control group， with 80 cases in each group， according to random number table method. The control group was given traditional TLIF method， observation group was given TLIF Quadrant channel system method， the therapeutic effect was evaluatd. Results The intraoperative blood loss， postoperative incision length， flow and bed time， postoperative hospital stay in the two groups were compared， the differences were statistically significant （P 0.05）. Imaging results showed that fixed nail stick was in good condition and intervertebral fusion， with fusion shiftless. Conclusion TLIF Quadrant channel system effect is remarkable for the treatment of lumbar intervertebral disc protrusion with good safety.In view of the complexity and segmental lumbar degenerative disease， it should be individualized plan formulation according to the specific condition of patients. 　　[Key words] Quadrant channel system； TLIF； Lumbar disc disease 　　腰椎间盘突出症是临床较为常见的一种退变性疾病，存在合并椎间不稳者往往需行减压及内固定融合术[1-3]。经椎间孔椎体间融合技术（transforaminal lumbar interbody fusion，TLIF）能通过椎间融合器的置入及前后方的融合实现三柱稳定，融合率较高，且腰椎生理前凸的恢复较快，后期并发症少[4-5]。传统的手术操作需要在患者两侧的椎旁肌进行广泛剥离，待肌肉完全显露后方可固定双侧钉棒，手术对机体的创伤较大，术后常合并慢性腰痛等