微创和开放经椎间孔腰椎椎间融合术治疗腰椎退变性疾病的效果比较.docVIP

微创和开放经椎间孔腰椎椎间融合术治疗腰椎退变性疾病的效果比较 　　[摘要] 目的 比较微创和开放经椎间孔腰椎椎间融合术治疗腰椎退变性疾病的临床效果。 方法 选取本院收治的32例腰椎退变性疾病患者为研究对象，随机分为研究组与对照组，各16例，对照组给予传统开放手术治疗，研究组给予微创经椎间孔腰椎椎间融合术治疗，比较两组的治疗效果。 结果 研究组的总有效率为93.75%，明显高于对照组的68.75%（P0.05）。 结论 采用微创经椎间孔腰椎椎间融合术治疗腰椎退变性疾病不仅可以提高整体治疗效果，还可以减少术后并发症的出现，值得临床推广。 　　[关键词] 微创；腰椎退变性疾病；并发症 　　[中图分类号] R681.5 [文献标识码] B [文章编号] 1674-4721（2014）08（a）-0184-02 　　Effect comparison of minimally invasive and open transforaminal lumbar interbody fusion in the treatment of degenerative lumbar disease 　　CHEN Wen-ming HUANG Hua-wei HUANG Yong-quan 　　Department of Orthopaedics，Pingxiang People′s Hospital of Jiangxi Province，Pingxiang 337055，China 　　[Abstract] Objective To compare the clinical effect of minimally invasive and open transforaminal lumbar interbody fusion in the treatment of degenerative lumbar disease. Methods 32 patients with degenerative lumbar disease in our hospital were selected as research subjects and randomly allocated to the research group and the control group，and there were 16 patients in each group.The control group received conventional open surgery，and the research group received minimally invasive transforaminal lumbar interbody fusion.Treatment effect between the two groups were compared. Results The total effective rate in the research group （93.75%） was obviously higher than that in the control group （68.75%） （P0.05）. Conclusion Minimally invasive transforaminal lumbar interbody fusion treating degenerative lumbar disease helps not only improve total curative effects，but also reduce postoperative complications，which is worthy of clinical promotion. 　　[Key words] Minimally invasive；Degenerative lumbar disease；Complication 　　随着我国科学技术的不断发展，治疗腰椎退变性疾病的技术明显提高，而使用微创经椎间孔腰椎椎间融合术治疗腰椎退变性疾病的方法逐渐被广泛运用，其治疗效果较为明显，而传统开放手术的治疗效果较差，且存在明显的创伤，后期恢复率较低[1]，因此，本研究选取本院收治的腰椎退变性疾病患者32例作为研究对象，对两组的治疗效果进行对比分析。 　　1 资料与方法 　　1.1一般资料 　　抽取2012年11月～2013年12月本院收治的腰椎退变性疾病患者32例，经患者同意后，将其分为研究组与对照组，各16例。对照组中男7例，女9例，年龄33～67岁，平均35.6岁；研究组中男8例，女8例，年龄28～71岁，平均32.4岁。两组患者经医院诊断均属于腰椎退