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微创改良TLIF联合单侧钉棒系统固定治疗腰椎退行性疾病
引用本文:赖征文,李敏,熊卜贵,李平安,刘云彬. 微创改良TLIF联合单侧钉棒系统固定治疗腰椎退行性疾病[J]. 中国矫形外科杂志, 2011, 19(10): 816-819
作者姓名:赖征文  李敏  熊卜贵  李平安  刘云彬
作者单位:广东深圳市横岗人民医院外三科,518115
基金项目:深圳市科技计划项目(编号:201003413)
摘    要:
[目的]探讨采用微创(minimally invasive)改良经腰椎间孔椎体间融合(modified transforaminal lumbar interbody fusion,TLIF)联合单侧钉棒系统治疗腰椎退行性疾病(lumbar vertebrae degenerative disease)的适应证、手术方法、初步疗效及并发症.[方法]2010年1月~2011年3月,随机选取有微创TLIF术适应证腰椎退行性疾病病例30例,其中微创改良TLIF联合单侧钉棒系统固定组(A组)15例,常规开放TLIF组(B组)15例,行各自术式手术并进行对照研究.[结果]术后6个月A组同B组在腰椎椎间植骨融合率、JOA评分等比较差异均显著,具有统计学意义(P(0.05).[结论]微创改良TLIF联合单侧钉棒系统固定治疗腰椎退行性疾病具有软组织损伤小、出血量少、不破坏对侧正常结构、住院时间短、腰椎椎间植骨融合率高、临床症状、体征及括约肌功能改善率高、并发症发生率低的优点,值得在临床推广应用.

关 键 词:微创  改良经椎间孔椎体间融合术  单侧钉棒系统  腰椎退行性疾病

Treatment of modified minimally invasive TLIF and unilateral nail holding system for lumbar degenerative disease
LAI Zheng-wen,LI Min,XIONG Bu-gui,et al.. Treatment of modified minimally invasive TLIF and unilateral nail holding system for lumbar degenerative disease[J]. Orthopedic Journal of China, 2011, 19(10): 816-819
Authors:LAI Zheng-wen  LI Min  XIONG Bu-gui  et al.
Affiliation:LAI Zheng-wen,LI Min,XIONG Bu-gui,et al.Henggang People's Hospital of Shenzhen,Guangdong 518115,China
Abstract:
[Objective]To discuss the treatment indications,surgical methods,preliminary results and complications of modified minimally invasive TLIF and unilateral nail holding system for lumbar degenerative disease.[Method]Thirty patients with indications of minimally invasive TLIF technique for degenerative illness were randomly selected from January 2010 to March 2011,15 cases were for minimally invasive TLIF improved holding system of the united unilateral screw fixation group(group A),15 cases were for conventio...
Keywords:minimally invasive  modified transforaminal lumbar interbody fusion  unilateral nail holding system  lumbar degenerative disease  
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