微创扩张通道结合经皮椎弓根螺钉技术治疗腰椎峡部裂疗效剖析.docVIP

微创扩张通道结合经皮椎弓根螺钉技术治疗腰椎峡部裂疗效剖析 　　【摘要】 目的：比较微创扩张通道结合经皮椎弓根技术与传统开放手术治疗腰椎狭部裂的疗效及术后并发症。方法：选取2011年2月-2015年4月本院41例腰椎狭部裂手术患者，根据手术方法不同，分为微创组21例与传统开放组20例，比较两组的手术时间、手术出血量、术后症状改善情况、术后融合率。结果：41例患者均顺利完成手术，微创组术中出血量及术后引流量均较开放组少，两组比较差异均有统计学意义（P0.05）；两组的VAS、ODI评分较术前均有显著改善，术后1个月微创组较开放手术组VAS、ODI评分改善更为明显，差异均有统计学意义（P0.05）；术后6个月微创组融合率高于开放组。结论：微创扩张通道结合经皮椎弓根技术治疗腰椎峡部裂与传统开放手术比较，具有手术出现量少、术后早期恢复快、融合率高等优点，值得临床推广。 　　【关键词】 峡部裂； 微创； 腰椎融合术； 经皮椎弓根固定 　　【Abstract】 Objective：To compare the curative effect and postoperative complications of lumbar spondylolysis treated with minimally invasive expansion duct combined with percutaneous pedicle screw technique and traditional open operation.Method： 41 surgical patients with lumbar spondylolysis were selected in our hospital from February 2011 to April 2015. According to the operation method， they were divided into the minimally invasive group for 21 cases and traditional open group for 20 cases，the operation time， amount of bleeding， improvement of postoperative symptoms and postoperative fusion rate between the two groups were compared. Result： 41 patients accepted the operation successfully，the amount of bleeding and fluid volume of minimally invasive group were less than those of traditional open group，the differences were statistically significance（P0.05）.The VAS and ODI scores of two groups were more significantly improved than those of before operation， after surgery of 1 month， the VAS and ODI scores of the minimally invasive group were more improved than the traditional open group，the differences were statistically significant（P0.05）. After operation of six months， the fusion rate of minimally invasive group was higher than that of traditional open group.Conclusion： Compared with the traditional open group， treating lumbar spondylolysis with minimally invasive expansion duct combined with percutaneous pedicle screw technique has the advantages of less amount of bleeding， quick recovery after operation and high fusion rate， which is worthy of clini