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肖波, 毛克亚, 王岩, 肖嵩华, 张永刚, 张西峰, 张雪松, 王征, 崔庚, 陆宁, 朱守荣. 直视下微创经椎间孔腰椎体间融合术的并发症分析[J]. 解放军医学院学报, 2013, 34(5): 446-448. DOI: 10.3969/j.issn.2095-5227.2013.05.007
引用本文: 肖波, 毛克亚, 王岩, 肖嵩华, 张永刚, 张西峰, 张雪松, 王征, 崔庚, 陆宁, 朱守荣. 直视下微创经椎间孔腰椎体间融合术的并发症分析[J]. 解放军医学院学报, 2013, 34(5): 446-448. DOI: 10.3969/j.issn.2095-5227.2013.05.007
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XIAO Bo, MAO Ke-ya, WANG Yan, XIAO Song-hua, ZHANG Yong-gang, ZHANG Xi-feng, ZHANG Xue-song, WANG Zheng, CUI Geng, LU Ning, ZHU Shou-rong. Complications of minimally invasive transforaminal lumbar interbody fusion under straight view[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2013, 34(5): 446-448. DOI: 10.3969/j.issn.2095-5227.2013.05.007
Citation: XIAO Bo, MAO Ke-ya, WANG Yan, XIAO Song-hua, ZHANG Yong-gang, ZHANG Xi-feng, ZHANG Xue-song, WANG Zheng, CUI Geng, LU Ning, ZHU Shou-rong. Complications of minimally invasive transforaminal lumbar interbody fusion under straight view[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2013, 34(5): 446-448. DOI: 10.3969/j.issn.2095-5227.2013.05.007
shu

直视下微创经椎间孔腰椎体间融合术的并发症分析

Complications of minimally invasive transforaminal lumbar interbody fusion under straight view

    摘要
  • 摘要: 目的 总结直视下微创经椎间孔腰椎体间融合术(MIS-TLIF)的并发症并探讨其发生原因和相关对策。 方法 对我院2008年1月-2011年7月间行MIS-TLIF 术的连续105例下腰椎退变性疾病患者进行回顾分析，记录患者的手术时间、术中出血量、术后下地时间、各种并发症情况，并进行影像学和术后疗效评价。 结果 随访12～30个月，平均16个月。7 人次(6.67%)出现并发症：硬膜囊破裂3例(2.86%)，为减压和髓核摘除时造成的撕裂；神经损伤1例(0.95%)，为术中牵拉性损伤；切口感染1例(0.95%)，为浅部感染；椎间融合器下沉2例(1.90%)，因骨质疏松造成。 结论 微创经椎间孔腰椎体间融合术并发症的发生主要与微创手术的特点、学习曲线和适应证的选择有关。

     

    Abstract: Objective To study the reasons for the complications of minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF) under straight view and their countermeasures. Methods One hundred and five patients who underwent MIS-TLIF in our hospital from January 2008 to July 2011 were retrospectively analyzed.Their operation time, intra-operative blood loss, postoperative ambulation time, and complications were recorded and assessed according to their postoperative radiographic images and clinical outcomes. Results The patients were followed up for 12-30 months (mean 16 months).Among the 7 patients (6.67%)with complications, dural cyst rupture due to decompression and removal of pulpiform nucleus, nerve injury due to intra-operative traction, superficial incision infection, and inter-vertebral cage subsidence due to osteoporosis occurred in 3 (2.86%), 1(0.95%), 1(0.95%), and 2 (1.90%), respectively. Conclusion Complications of MIS-TLIF are mainly correlated with the features of MISTLIF, learning curves, and indications for MIS-TLIF.Operation under straight view can reduce the development of complications.

     

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