斜外侧椎间融合术治疗腰椎结核
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甘肃省人民医院

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Oblique lateral interbody fusion for lumbar tuberculosis
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1.people'2.'3.s hospital of Gansu province,

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    【摘要】 目的 介绍斜外侧椎间融合术治疗腰椎结核的手术技术和初步结果。方法 自2018年10月至2020年6月期间,我院骨科收住腰椎结核患者13例,最新采用斜外侧椎间融合术治疗:取侧卧位,经腹外斜肌、腹内斜肌、腹横肌进入腹膜外间隙,抵达腰椎侧方,清除病灶,取髂骨植骨,最后行椎体钉内固定。结果 该术式手术时间平均为(132.51±21.40)min,术中出血量为(227.32±43.14)ml。术后7天,ESR平均值、CRP平均值、VAS评分均较术前好转。术后患者神经功能改善,无明显并发症。结论 斜外侧椎间融合术治疗腰椎结核是一种新的微创手术方式,具有创伤小、手术时间短、出血量少、病灶清除彻底、安全有效的优点,对于腰椎结核具有较好的早期临床疗效。

    Abstract:

    [Abstract] Objective To introduce the surgical technique and preliminary results of oblique lateral interbody fusion in the treatment of lumbar tuberculosis. Methods From October 2018 to June 2020, 13 patients with lumbar tuberculosis were admitted to the Department of Orthopaedics of our hospital. The latest treatment was oblique lateral interbody fusion: taking the lateral position, entering the extraperitoneal space through the oblique muscles outside the abdomen, the oblique muscles inside the abdomen and the transverse muscles of the abdomen, reaching the lateral side of the lumbar spine, removing the lesions, taking the iliac bone graft, and finally fixing the vertebral body with screws. Results The average operation time was (132.51±21.40)min and the blood loss was (227.32±43.14)ml. Seven days after operation, ESR, CRP and VAS scores were better than those before operation. After operation, the neurological function of patients improved without obvious complications. Conclusion Oblique lateral interbody fusion is a new minimally invasive surgery for lumbar tuberculosis, which has the advantages of less trauma, short operation time, less bleeding, thorough lesion clearance, safety and effectiveness, and has a good early clinical effect for lumbar tuberculosis.

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  • 收稿日期:2020-11-20
  • 最后修改日期:2021-05-07
  • 录用日期:2021-05-26
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