[1]徐峰 徐彬 李涛 谭林英 胡昊 秦佳军.Vista通道系统下治疗峡部裂性腰椎滑脱症的临床研究[J].中国中医骨伤科杂志,2018,26(01):43-47.
　XU Feng XU Bin LI Tao TAN Linying HU Hao QIN Jiajun.Clinical Study on the Treatment of Isthmic Lumbar Spondylolisthesis via Vista Channel System[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(01):43-47.
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Vista通道系统下治疗峡部裂性腰椎滑脱症的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年01期
页码:
43-47
栏目:
临床论著
出版日期:
2018-01-15

文章信息/Info

Title:
Clinical Study on the Treatment of Isthmic Lumbar Spondylolisthesis via Vista Channel System
文章编号:
1005-0205(2018)01-0043-05
作者:
徐峰1 徐彬2 李涛2 谭林英2 胡昊1 秦佳军1
1中国人民解放军武汉总医院(武汉,430070) 2湖北中医药大学
Author(s):
XU Feng1 XU Bin2 LI Tao2 TAN Linying2 HU Hao1 QIN Jiajun1
1Wuhan General Hospital of PLA, Wuhan 430070, China; 2Hubei University of Traditional Chinese Medicine, Wuhan 430070, China.
关键词:
峡部裂性腰椎滑脱症;  Vista通道系统;  微创
Keywords:
Keywords:isthmic lumbar spondylolisthesis;  vista channel system;  minimally invasive
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨经Vista通道系统下微创治疗峡部裂性腰椎滑脱症的可行性及近期临床疗效。方法:选取2015年5月至2016年6月收治的Meyerding分级为Ⅰ和Ⅱ度的峡部裂性腰椎滑脱症患者24例,手术均采用后路双侧椎旁肌间隙入路,在Vista通道下行减压、植骨融合,然后置钉、复位、固定。采用疼痛目测类比评分(VAS)、Oswestry功能障碍指数(ODI)对患者术前及术后3个月、术后1年腰椎功能做评价,并通过术前及术后X线片来测量滑脱率及椎间高度来评价滑脱矫正情况。结果:所有患者手术均顺利完成,未见明显术后并发症。随访时间12～24个月,平均18个月; 手术时间85～145 min,平均115 min; 出血量为75～135 mL,平均105 mL; 术后患者腰腿痛症状均明显缓解,滑脱均不同程度矫正; 术后3个月、术后1年的VAS评分、ODI、滑脱率及椎间隙高度均较术前明显改善,差异有统计学意义(P<0.05); 术后3个月与术后1年的滑脱率及椎间隙高度相比差异无统计学意义,提示滑脱矫正程度无明显丢失。结论:经Vista通道系统下微创治疗峡部裂性腰椎滑脱症是安全可行的,能有效改善患者症状、矫正滑脱。
Abstract:
Abstract Objective:To explore the feasibility and recent effect of minimally invasive treatment of isthmic lumbar spondylolisthesis via Vista channel. Methods:We retrospectively analyzed the data of 24 isthmic spondylolisthesis cases(Meyerding grade Ⅰ-Ⅱ)who underwent surgery from May 2015 to June 2016. The surgeries were performed via Vista channel by bilateral muscle gap for posterior decompression, bone graft fusion, screw placement, restoration and fixation. VAS and ODI system was used to evaluate the patient's lumbar function of pre- and post operative(3 months and 12 months). The pre- and post operative radiographic data was evaluated, including slippage rate and intervertebral disc height. Results: All operations were successfully completed and no significant postoperative complications. All patients were followed up for 12～24 months(mean 18 months). The mean operation time was 115 min(range 85～145 min); intraoperative blood loss was 75～135 mL(mean 105 mL). The Lumbocrural pain was significantly alleviated and the spondylolisthesis had different degree of correction. The VAS score, ODI index, slippage rate and intervertebral disc height were significantly improved in postoperative 3 months and postoperative 1 year compared with preoperative, the difference was statistically significant(P<0.05). There was no significant difference in the slippage rate and intervertebral disc height between 3 month and 1 year postoperative, suggesting no significant loss of slippage correction. Conclusion: Minimally invasive management for isthmic lumbar spondylolisthesis via Vista channel system is safety and feasible. It can effectively improve the patient's symptoms and correct slippage.

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备注/Memo

备注/Memo:
基金项目:湖北省自然科学基金(2014CFB473)
更新日期/Last Update: 2018-01-15