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后外侧融合

后外侧融合的相关文献在1998年到2020年内共计62篇,主要集中在外科学、基础医学 等领域,其中期刊论文62篇、专利文献130347篇;相关期刊44种,包括健康之路、解剖与临床、实用临床医药杂志等; 后外侧融合的相关文献由206位作者贡献,包括俞兴、刘平、周初松等。

后外侧融合—发文量

期刊论文>

论文:62 占比:0.05%

专利文献>

论文:130347 占比:99.95%

总计:130409篇

后外侧融合—发文趋势图

后外侧融合

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  • 俞兴
  • 刘平
  • 周初松
  • 徐宏光
  • 徐林
  • 曲弋
  • 曹旭
  • 毕连涌
  • 郑大滨
  • 伍绍成
  • 期刊论文
  • 专利文献

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    • 张世磊; 甘璐; 罗卓荆; 丁子毅; 闫铭
    • 摘要: 目的 比较不同手术方式治疗腰椎滑脱症的疗效.方法 回顾性分析2013年2月至2017年5月该院收治的96例腰椎滑脱症患者临床资料,其中31例行腰椎后路椎板切除减压,后外侧植骨融合内固定术(PLF);35例行腰椎后路椎板切除减压,椎间盘切除,椎间植骨融合内固定术(TLIF);30例行微创通道下腰椎后路椎板切除减压,椎间盘切除,椎间植骨融合内固定术(MIS-TLIF),所有患者均随访2年.比较3组手术时间、术中出血量、滑脱复位率、复位丢失率、Oswestry功能障碍指数(ODI)评分、日本骨科协会(JOA)下腰痛评分.结果 MIS-TLIF组手术时间明显长于PLF组和TLIF组(P0.05),TLIF组、MIS-TLIF组JOA下腰痛评分明显高于PLF组(P<0.05),JOA评分改善率明显高于PLF组(P<0.05).结论 与后外侧融合相比,椎间融合能更好地复位滑脱椎体,而微创通道手术能明显减少手术创伤,有良好的临床疗效.
    • 梁龙; 银河; 于杰; 高景华; 冯敏山; 杨克新; 尹逊路; 朱立国
    • 摘要: 目的 评价后路环形融合和后外侧融合治疗腰椎滑脱症的临床疗效.方法 检索国内所有关于后路环形融合和后外侧融合治疗腰椎滑脱症的临床对照试验.由2 名评价者独立对纳入的文献进行数据提取后,用RevMan 5.3软件进行Meta分析.结果 按照规定的文献检索方式,最终纳入12篇文献,共纳入患者759例,分析结果显示:后路环形融合组与后外侧融合比较,其优良率[OR=2.36,95%CI(1.33,4.17)],P=0.003,两者差异具有统计学意义.同时,在改善融合率、随访时椎间隙高度、手术时间和出血量方面差异均有统计学差异,在改善腰椎滑脱角和术后即刻椎间隙高度方面,两种方式差异无明显统计学意义.绘制倒漏斗图,结果显示倒漏斗图基本对称,提示发表偏倚尚可.结论 与后外侧融合相比,后路环形融合在改善优良率、融合率和椎间隙高度方面有着一定优势,但手术时间及出血量较多.两者对于改善腰椎前凸角的效果没有差异.%Objective To evaluate the clinical efficacy of posterior circumferential fusion and posterolat-eral fusion in the treatment of lumbar spondylolisthesis.Methods All clinical trials of posterior circumferen-tial fusion and posterolateral fusion for lumbar spondylolisthesis were retrieved.Then information was extracted effectively by two evaluators independently,and was analyzed by the RevMan 5.3 software.Results In ac-cordance with the provisions of the literature retrieval,finally 12 articles with 759 patients were included in the study.Analysis results showed that the pooled OR and 95%confidence interval for the superior rate was [OR=2.36,95%CI(1.33,4.17)],P=0.003.In the aspect of improving the fusion rate,intervertebral height during operation,operation time and amount of bleeding,there were significant differences.But in improving lumbar lordosis and the height of postoperative intervertebral space,there was no significant difference between the two ways.The result showed that the funnel plot was basically symmetrical,suggesting that the publication bias was still available.Conclusion Compared with posterolateral fusion,posterior circumferential fusion has advantages in improving superior rate,the rate of fusion and the height of intervertebral space,but results in more operative time and bleeding volume.Finally,for the improvement of lumbar lordosis,there're no differ-ence between the two groups.
    • 吐尔洪·吐尔逊
    • 摘要: 目的:在腰椎退行性疾病的治疗过程中分别应用腰椎退行性疾病,对比分析临床治疗效果。方法:在2015年2月到2017年9月期间从我院选取100例腰椎退行性疾病患者作为研究对象,其中采用PLIF联合PLF进行治疗的患者有53例(对照组),单纯采用PLIF进行治疗的患者有47例(观察组),对所有患者的病例资料进行回顾性分析,对比分析两组患者ODI评分以及融合率。结果:对照组与观察组患者在完成治疗后进行跟踪随访后发现,对照组患者的手术时间、出血量、并发症发生率与观察组无明显差异,不具有统计学意义(P>0.05)。结论:在腰椎退行性疾病的治疗过程中,采用PLIF联合PLF进行治疗或单纯采用PLIF进行治疗,在短期临床疗效和融合率方面并没有明显差异,但在应用PLF时,却可能对患者造成更大的创伤,所以,在进行治疗方法的选择时,应该根据患者的实际情况来进行决定。
    • 王振斌; 涂来勇; 卡哈尔; 楚戈; 顾文飞; 张恩丰; 赵疆
    • 摘要: 目的:探讨两种融合方案联合内固定术治疗老年峡部裂型腰椎滑脱症的临床疗效。方法90例老年峡部裂型腰椎滑脱症患者,按融合方案分为两组,A组行腰椎后路椎板减压椎间盘切除腰椎椎体间融合器( Cage)植骨融合内固定术,B组行腰椎后路椎板减压后外侧植骨融和内固定术。比较患者的手术时间、术中出血量、滑脱复位率及丢失率、并发症、植骨融合率、椎间隙高度及日本骨科协会( JOA)评分。结果 A组患者的手术时间较B组患者手术时间长,且术中出血量明显高于B组,差异均有统计学意义( P<0.01)。 A组患者术后2 w的滑脱复位率高于B组,而术后1年的复位丢失率低于B组,术中A组的并发症发生率(31.11%)明显高于B组(8.89%),术后1年A组患者的植骨融合率和椎间隙高度明显高于B组(P<0.05)。术后1年A组患者的JOA评分明显高于B组(P<0.05)。结论腰椎后路椎板减压后外侧植骨融联合内固定术治疗老年峡部裂型腰椎滑脱症,可减少手术时间和术中出血量,有效复位椎体恢复腰椎曲度及椎间隙高度,植骨融合率较高,并发症发生率低,具有较好的临床疗效。
    • 戚光乾; 沈亮; 颜军
    • 摘要: 目的:对比分析单纯植骨椎间融合手术与后外侧融合术治疗腰椎滑脱症的临床效果。方法50例腰椎滑脱患者,采用随机数字法分成A、B两组,各25例。A组患者实行单纯植骨椎间融合手术;B组实行后外侧融合术。术后随访,对比两组患者的手术时间、术中术后出血量以及评估融合成功率、椎间隙高度、滑脱百分率。结果所有患者术后近期指标表明这两种方法在融合成功率、椎间隙高度、滑脱百分率比较,差异无统计学意义(P>0.05)。所有患者均随访1年,得到B组患者术中和术后出血量均少于A组,且手术时间更短。同时,所有患者功能障碍指数均下降明显,但A组融合率、椎间隙高度、滑脱百分率丢失的数据小于B组,差异具有统计学意义(P<0.05)。结论在腰椎滑脱治疗中,单纯植骨椎间融合手术与后外侧融合术都具有各自的优势,但从长远角度上来看,单纯植骨椎间融合手术的疗效比后外侧融合术好,临床上应结合实际情况做出判断。
    • 刘志恒; 武永刚; 高飞; 阿尔宾
    • 摘要: 目的:分析后外侧植骨融合内固定术治疗腰椎滑脱的临床效果与安全性。方法:选取2013年1月-2015年1月期间在我院接受治疗的50例腰椎滑脱患者作为研究对象。采用后外侧植骨融合方式手术治疗,观察术后疗效。结果:50例患者术后1周后X线片显示:46例患者完全复位,4例患者大部复位。所有患者的钉棒位置良好,且后外侧植骨量充足。观察组患者术后在腰痛、神经功能以及脊柱活动功能改善方面效果更好(P0.05)。结论:通过对我院50例腰椎滑脱患者治疗情况的分析,我们认为后外侧植骨融合内固定手术治疗腰椎滑脱症的,手术操作方便、经济安全、治疗效果良好,值得采用。
    • 方望; 石青鹏; 汤健
    • 摘要: 目的:系统性评价后外侧融合(internal fixation and posterolateral fusion,PLF)与后路椎间融合(posterior lum-bar interbody fusion,PLIF)治疗短节段峡部裂型腰椎滑脱的临床效果。方法计算机检索 Medline、PubMed、Cochrane Library、Ovid、SpringerLink、中国生物医学文献数据库、万方、维普等数据库,并手工检索相关杂志搜集关于 PLF 和 PLIF的随机对照试验。按纳入和排除标准对检索到的文献进行筛选,采用 RevMan 5.1软件对结局指标进行 Meta 分析。结果纳入5篇随机对照试验(randomized controlled trials,RCT)文献,共409例患者,PLF 组206例,PLIF 组203例。Meta分析结果显示,与PLIF组相比,PLF组的平均手术时间较少( MD =-29.71,95% CI:-42.85~-16.57,P ﹤0.00001),融合率较低(OR =0.41,95% CI:0.22~0.76,P =0.005),但两组术式在平均失血量(MD =172.35,95% CI:-78.03~422.729,P =0.18)、并发症(OR =1.62,95% CI:0.59~4.51,P =0.35)、再次手术率(OR =3.03,95% CI:0.46~20.00,P =0.25)及临床结果优良率(OR =0.59,95% CI:0.30~1.15,P =0.12)方面差异无统计学意义。结论与PLIF 治疗短节段峡部裂型腰椎滑脱相比,PLF 的手术时间较短,融合率较低,其余方面未见差异。但本Meta 分析的某些比较存在明显异质性,同时也存在多种偏倚的可能,所以此结果仍需要长期随访的高质量的随机对照试验进一步证实此结论。%Objective To systematically compare and evaluate internal fixation and posterior lumbar interbody fusion (PLIF)and internal fixation and posterolateral fusion(PLF)in short-level lumbar spondylolisthesis. Methods The references from inception to September 2013 concerning PLIF and PLF for the short-level lumbar spondylolisthesis were retrieved through Medline,PubMed,Cochrane Library,Ovid,SpringerLink,the China Biological Medicine Database,Wafang Database and Weipu Database,as well as by manually searching the related journals and grey literature. The eligible trials were extracted according to the inclusion and exclusion criteria. The included trials were evaluated the methodological quality. RevMan5. 1 software was used for data analysis. Results The Five RCTs were included in the final meta-analysis,enrolling a total of 203 PLF cases and 206 PLIF cases. The results of meta-analysis showed that statistically difference between PLF and PLIF in the mean operation time(MD = - 29. 71,95% CI:- 42. 85 ~ - 16. 57,P ﹤ 0. 00001)andfusionrate(OR = 0. 41,95% CI:0. 22 ~ 0. 76,P =0. 005). There were no statistically difference in mean blood loss(MD = 172. 35,95% CI:- 78. 03 ~ 422. 729,P = 0. 18), complicationrate(OR = 1. 62,95% CI:0. 59 ~ 4. 51,P = 0. 35),reoperationrate(OR = 3. 03,95% CI:0. 46 ~ 20. 00,P =0. 25)and excellent and good rate of clinical outcomes(OR = 0. 59,95% CI:0. 30 ~ 1. 15,P = 0. 12). Conclusion The meta-analysis shows that the PLF has less mean operation time than PLIF and PLIF has higher fusion rate than PLF. However,this meta-analysis has several main limitations,so high-quality randomized controlled trials with long-term follow-up are needed to further assess these outcomes.
    • 庄林波; 王立胜; 王志勇
    • 摘要: Objective To observe the effect of posterolateral fusion or not on unstable thoracolumbar fractures without neurologic deficit.Methods 60 patients with single segment unstable thoracolumbar fractures without neurological deficit were classified into two groups according to therapeutic methods.Group A consisted of 30 patients who were treated by posterior pedicle screw fixation via posterolateral fusion with iliac bone or allograft bone;Group B consisted of the other 30 patients who were treated by posterior pedicle screw fixation without posterolateral fusion.The Cobb angle,vertebral kyphotic angle,height of vertebral anterior edge and height of vertebral posterior edge were measured on the preoperative,postoperative and last follow-up lateral X-ray film,the measuring results were compared.Clini-cal outcomes were evaluated by Japanese Orthopedic Association Scores(JOA)and Visual Analogue Score(VAS). Results Patients of two groups were followed up during 12~60 months.The Cobb angle,vertebral kyphotic angle, height of vertebral anterior edge and height of vertebral posterior edge including their corrective degree and loss degree were compared in preoperatively,postoperatively and the last follow-up between two groups,there were no significant differences (P>0.05 ).There were also no significant differences on JOA scores and VAS scores between two groups (P>0.05 ).Conclusions Posterolateral fusion or not don′t make big differences in treating thoracolumbar fractures without neurological deficit by posterior pedicle screw instrumentation.%目的:观察后外侧融合对后路椎弓根钉内固定治疗无脊髓损伤的不稳定胸腰椎骨折的疗效影响。方法60例均为单一节段无脊髓损伤的不稳定胸腰椎骨折患者,按治疗方法分为2组:A组30例,行后路复位椎弓根钉内固定术,并取自体髂骨或同种异体骨行后外侧融合;B组30例,仅行后路复位椎弓根钉内固定术,未做植骨融合。术前、术后和末次随访时在X线侧位片上测量Cobb角、伤椎后凸角、伤椎前缘高度、伤椎后缘高度,比较各项指标的结果。临床疗效评价采用腰椎JOA评分法和视觉模拟评分法(VAS )进行评定。结果两组患者均获得随访,时间12~60个月。术前、术后及末次随访时两组间Cobb角、伤椎后凸角、伤椎前缘高度、伤椎后缘高度各项指标及其矫正度和丢失度比较差异均无统计学意义(P>0.05);JOA评分、VAS评分两组间比较差异亦无统计学意义(P>0.05)。结论后路复位椎弓根钉内固定术治疗无脊髓损伤的不稳定胸腰椎骨折,后外侧融合与否对临床疗效无明显影响。
    • 曹治东; 蒋电明; 田开熙; 苟景跃; 张晓星
    • 摘要: 目的:探讨后路椎间融合(PLIF)联合后外侧融合(PLF)的植骨融合方法治疗腰椎滑脱症的临床效果。方法将明确诊断为腰椎滑脱症的63例患者,行后路单或双侧椎板切除、神经根管减压,清理滑脱间隙,短节段椎弓根钉棒系统复位、固定,滑脱椎体间融合器(Cage)植骨融合及后外侧植骨融合,有椎弓根峡部裂开者行峡部裂开处清理、植骨融合。分别于手术前、术后1周、术后6个月及术后12个月记录日本骨科协会(JO A )评分、腰椎前凸角、节段前凸角、椎间隙高度、滑脱率及并发症。结果63例患者均未出现严重并发症,JO A评分自术后第1周开始均有不同程度增加,随着康复时间延长,JO A评分逐渐增加,术后JOA评分改善率平均为85.00%,腰椎前凸角、节段前凸角、椎间隙高度、滑脱率较术前均有显著好转。本组患者融合率达95.24%,融合失败率为4.76%。结论 PL IF联合PL F的植骨融合方法是治疗腰椎滑脱症的理想方法之一。%Objective To investigate the clinical effect of the bone graft fusion of the posterior lumbar interbody fusion (PLIF) combined with posterolateral fusion(PLF) in treating lumbar spondylolisthesis .Methods 63 cases of lumbar spondylolisthesis were performed the posterior unilateral or bilateral vertebral plate resection ,nerve root canal decompression ,clearing the slippage space , reduction ,fixation short-segment vertebral pedicle nail-stick system for reduction and fixation ,bone graft fusion with the interverte-bral space Cage and posterior-lateral bone graft fusion ,vertebral pedicle isthmus cracking was performed the clearance and bone graft fusion(PLIF combined with PLF ) .The JOA scores ,lumbar lordosis ,segment lordosis ,intervertebral space height ,slippage rate and complications were recorded before operation ,in postoperative 1 week ,6 ,12 months .Results All cases had no serious complications .The JOA scores were increased to some different degrees from the beginning of postoperative 1 week ,with the reha-bilitation time extension ,the JOA scores were gradually increased ,the improvement rate of the postoperative JOA score averaged 85 .00% .The lumbar lordosis ,segment lordosis ,intervertebral space height and slippage rate after operation were significantly im-proved compared with before operation ,the fusion failure rate was 4 .76% .Conclusion The bone graft fusion of PLIF combined with PLF is one of ideal methods to treat lumbar spondylolisthesis .
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