资源描述：
《腰椎退变性疾病手术治疗策略》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、腰椎退变性疾病手术治疗策略李友文曾建洪陈渝彭旭(四川省内江市东兴区人民医院四川内江641100)【摘要】目的：探讨腰椎退变性疾病手术方式选择。方法：回顾性总结并分析2010.1-2014.6期间，我院选择性应用经椎间孔腰椎椎间融合术(TLIF)与腰椎后路椎间融合术(PLIF)治疗腰椎退变性疾病85例，其中TLIF组55例、PLIF组30例，通过比较其手术时间、术中出血量、手术前后椎间高度变化情况、植骨融合率，并采用JOA下腰疼评分标准、视觉模拟评分法(Visualanalogscale,VAS)进行功能
2、评分来评价手术疗效。结果：TLIF与PLIF比较，手术时间较短、出血量较少、并发症发牛率较低；而椎间高度恢复与植骨融合率均良好，两组间无明显差别；JOA腰痛疾患评分与VAS视觉模拟评分：两组术后随访都明显好于术前,但两组之间无明显差异。结论：TLIF和PLIF均是治疗腰椎退行性变疾病的有效手术方式，但应根据患者的具体情况，严格掌握两种术式的适应证，选择最合适的手术方式，或者将两种术式结合应用，以取得最佳疗效。【关键词】腰椎退变性疾病；经椎间孔腰椎椎间融合术；腰椎后路椎间融合术；【中图分类号】R68【文献
3、标识码]A【文章编号】1004-6194(2015)01-0007-02Lumbardegenerativedisease,surgicaltreatmentstrategyLiYou-wenCengJianhongChenYuPengXu(sichuanneijianglargedistrictpeople'shospital,641100)[Abstract】Objective:Toinvestigatetheoperationmodeselectionoflumbardegenerativedis
4、ease.Method:aretrospectivesummaryandanalysisduringtheperiodofthe2010.1-2014.6,selectiveuseinourhospitaltheintervertebralforamenlumbarinterbodyfusion(TLIF)andposteriorlumbarinterbodyfusion(PLIF)treatmentoflumbardegenerativediseaseof85cases,ofwhichtheTLIFg
5、roup55cases,PLIFgroup30cases,bycomparetheoperationtime,intraoperativebloodloss,opera廿onbeforeandafterchangeofintervertebralheight,bonegraftfusionrate,andtheJOAscorelowbackpainscorestandard，visualanaloguescore(visualanalogscale,VAS)ofscoringfunctionstoeva
6、luatethesurgicalresults.Result：TLIFandPLIFcomparedshorteroperationtime,bleedingquantityisless,complicationsoccurreneerateislow;andrecoveryoftheheightofintervertebralspaceandbonegraftfusionratewasgood,betweenthetwogroupsnosignificantdifferenee;JOAscoreand
7、vasvisualanaloguescore:twogroupsofpostoperativefollow-upwasbetterinthepreoperative,butbetweenthetwogroupsnosignificantdifferenee.Conclusion:theTLIFandPLIFareeffectivesurgicalprocedureforthetreatmentoflumbardegenerativedisease,butitshouldbeaccordingtothes
8、pecificcircumstancesofthepatient,strictcontroloftwokindsofsurgicalindications,choiceofthemostsuitableoperationoraccordingtotheapplicationoftwokindsofoperation,inordertoachievethebesteffect.【Keyword]lumbardegenerativediseas
