【摘要】 目的研究quadrant微创通道在治疗腰椎退行性疾病方面的临床效果及优势。方法选取2012年1月至2013年1月在湛江中心人民医院骨科就诊的患者共78例,根据患者所采用的手术方式分为传统组和微创组,传统组42例,实行传统椎间孔入路椎间融合术(TLIF)进行治疗,微创组36例,实行quadrant微创通道技术进行手术,比较两组患者手术所用的时间、术中患者的失血量,并在术后6个月观察患者手术节段的融合率和并发症的发生率。结果传统组所用的手术时间远比微创组手术时间长[(162.3±23.5)min vs(87.6±25.6)min],失血量[(223.2±25.6)mL vs(106.3±26.6)mL]也多于微创组(P<0.05);不同方式治疗后的两组融合率均为96%,但传统组的并发症发生率(5.89%)高于微创组(4.2%),差异有统计学意义(P<0.05)。结论 quadrant微创通道手术治疗腰椎退行性疾病具有节约手术时间、失血量少、并发症少、融合度高的特点,是一种优质的治疗方式。更多还原

【Abstract】 Objective To investigate the clinical effect and advantages of quadrant minimally invasive channel treatment for degenerative disease of lumbar. Methods A total of 78 cases of patients with lumbar degenerative diseases admitted in Zhanjiang Central People’ s Hospital from Jan. 2012 to Jan. 2013 were divided into traditional group( 42 cases) and minimally invasive group( 36 cases) according to different operation methods. Patients in the traditional group were treated with common TLIF,and patients in the minimally invasive group were treated with quadrant minimally invasive channel. The operation time,amount of blood loss during operation,as well as the integration rate of the operative region and the incidence of complications6 months after the operation of the two groups were compared and analyzed. Results Compared with the minimally invasive group,the traditional group had longer operation time[( 162. 3 ± 23. 5) min vs( 87. 6 ±25. 6) min],and bigger amount of blood loss during operation[( 223. 2 ± 25. 6) mL vs( 106. 3 ± 26. 6) mL],and the differences was statistical significant( P < 0. 05). The two groups shared the same integration rate 6months after the operation as around 96%,while the complication incidence of the traditional group( 5.89%) was higher than the minimally invasive group( 4. 2%),with significant statistical significance( P <0.05). Conclusion Minimally invasive channel treatment for lumbar degenerative disease has the advantanges of less operation time,less amount of blood loss,less complication incidence,and higher integration rate,therefore,is worthy of clinical application.更多还原