微创经椎间孔椎体间融合术与开放手术治疗腰椎滑脱症临床分析

目的：分析微创经椎间孔椎体间融合术与开放性手术治疗腰椎滑脱症的治疗方法与临床效果。方法：回顾性分析我院自2006年1月至2008年12月内收治的96例腰椎滑脱患者,随机分成两组,实验组患者实行微创经椎间孔椎体间融合术并进行腰椎内固定治疗;对照组患者进行常规的开放性手术合并腰椎内固定术治疗,术后随访,统计分析两组患者的手术时间、术中出血量、术后并发症等情况,根据手术前后疼痛视觉模拟评分（VAS）以及Oswestry功能障碍指数评估患者临床疗效,并进行CT扫描重建检测以及腰椎动力位的X线片检测,了解两组患者的椎间融合情况。结果：对所有患者进行6-12个月的随访调查,发现实验组患者术中、术后出血量均少于对照组,具有显著差异P〈0.05,两组患者功能障碍指数术前、手术后均明显下降,两组比较存在显著差异性,实验组患者的功能障碍指数明显小于对照组,另外,两组患者手术时间相比,实验组患者手术时间明显较长。结论：经过对所有患者的实验数据进行统计分析,可以得出微创经椎间孔椎体间融合术治疗腰椎滑脱具有手术出血少、疼痛轻,恢复迅速等优点,值得临床广泛使用。

Minimally Invasive Percutaneous Transforaminal Lumbar Interbody Fusion and Open Operation for Treatment of Lumbar Spondylolisthesis Clinical Analysis

Objective： To analyze minimally invasive transforaminal lumbar interbody fusion with open surgery in the treatment of lumbar spondylolisthesis method and clinical results.Method： A retrospective analysis of 96 cases of spondylolisthesis patients admitted to our hospital from January 2006 to December 2008,who were randomly divided into two groups,the experimental group patients implement minimally invasive transforaminal lumbar interbody fusion and lumbar fixation treatment;conventional open surgery with lumbar fixation for the treatment of patients of the control group,the postoperative follow-up,statistical analysis of two groups of patients,operative time,intraoperative blood loss,postoperative complications and so on.according to a visual analogue scale of pain before and after surgery（VAS） and the oswestry disability index to evaluate the clinical efficacy,the detection of X-ray CT scan reconstruction detect and lumbar power for interbody fusion patients.Result： Through all patients 6 to 12 months of follow-up investigation which found that patients in the experimental group and the postoperative bleeding volume was less than the control group and has a significant difference,P 0.05,two groups of patients with functional disorders index before surgery,after surgery declined obviously,the two groups exist significant differences,the experimental group patients dysfunction index was significantly less than the control group,In addition,the operation time of the two groups were compared,the experimental group operative time was significantly longer.Conclusion： After a statistical analysis of the experimental data for all patients,It shows that the minimally invasive treatment of spondylolisthesis by transforaminal lumbar interbody fusion surgery with less bleeding,less pain,rapid recovery,etc.,worthy of clinical widespread.