经椎间孔减压椎体间融合内固定治疗高位腰椎间盘突出症的疗效分析

摘要

Objective To evaluate the clinical effect of transforaminal decompression posterior interbody fusion internal fixation in the treatment of upper protrusion of lumbar intervertebral disc .Methods 11 patients with upper protrusion of lumbar interverte-bral disc were given transforaminal decompression posterior interbody fusion internal fixation .The operation time and bleeding a-mount were recorded ,and the clinical effects were evaluated .Results The operation time and bleeding amount during operation were (132 .0 ± 37 .0)min and (320 .1 ± 56 .8)mL ,respectively .The lumbar function scoring of Japanese Orthopedic Association (JOA) after operation was (22 .9 ± 2 .3) points ,which was significantly higher than (11 .2 ± 3 .1) points before operation ;The postoperative recovery excellent rate was 90 .9% .All of the patients successfully finished posterior interbody fusion .Conclusion Transforaminal decompression posterior interbody fusion internal fixation in the treatment of upper protrusion of lumbar interverte-bral disc has the advantages of sufficient exposure ,safe operation and significant therapeutic effects .%目的：评估经椎间孔减压椎体间融合内固定治疗高位腰椎间盘突出症的临床疗效。方法：11例高位腰椎间盘突出症患者均采用经椎间孔减压椎体间融合内固定术进行治疗，统计手术时间、术中出血量，评价临床疗效。结果手术时间（132．0±37．0） min ，术中出血量（320．1±56．8） mL。术后日本整形外科学会（JOA）腰椎功能评分[（22．9±2．3）分]较术前[（11．2±3．1）分]显著升高；术后恢复优良率为90．9％，所有患者均椎体间融合成功。结论：经椎间孔减压椎体间融合内固定治疗高位腰椎间盘突出症具有暴露充分、操作安全、疗效显著等优点。