[1]胡安文,罗光平,肖业生,等.显微椎间盘镜下BTwin椎间融合术治疗腰椎退变失稳型椎间盘突出症[J].中国微创外科杂志,2011,11(3):249-252.
　Hu Anwen,Luo Guangping,Xiao Yesheng,et al.Microendoscopic Decompression and Interbody Fusion with BTwin for Degenerative Unstable Lumbar Disc Herniation[J].Chinese Journal of Minimally Invasive Surgery,2011,11(3):249-252.
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显微椎间盘镜下BTwin椎间融合术治疗腰椎退变失稳型椎间盘突出症()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
11
期数:
2011年3期
页码:
249-252
栏目:
出版日期:
2011-03-20

文章信息/Info

Title:
Microendoscopic Decompression and Interbody Fusion with BTwin for Degenerative Unstable Lumbar Disc Herniation
作者:
胡安文; 罗光平; 肖业生; 杨长远; 袁泉; 刘洪; 向超; 朱钧
南华大学附属怀化市第一人民医院骨外科，怀化418000
Author(s):
Hu Anwen;  Luo Guangping;  Xiao Yesheng;  et al.
First People’s Hospital of Huaihua City, Nanhua University, Huaihua 418000, China
关键词:
椎间盘镜; BTwin; 椎间融合; 椎间盘移位; 腰椎; 微创手术
Keywords:
Microendoscopy; BTwin; Interbody fusion; Intervertebral disk displacement; Lumbar vertebrae; Minimally invasive surgery
分类号:
R681.5+3
文献标志码:
A
摘要:
目的探讨后路显微椎间盘镜下可膨胀性椎间融合器BTwin植入椎间融合术治疗腰椎退变失稳型椎间盘突出症的临床疗效。方法2005年9月～2008年6月，对32例腰椎退变失稳型椎间盘突出症行后路显微椎间盘镜联合可膨胀性椎间融合器BTwin植入椎间融合术。手术融合节段：L2/3 1例，L3/4 3例，L4/5 18例，L5/S1 10例，均为单节段。结果植入2枚BTwin 23例，单枚9例。术后1周VAS疼痛评分由术前8.7±0.3降至2.3±1.7（t=20.64，P=0.001）。随访时间平均25个月（24～29个月），植骨融合率采用Suk标准：1年融合率为93.8%（30/32），2年融合率为96.9%（31/32），BTwin椎间融合器无明显下沉。结论后路显微椎间盘镜联合可膨胀性椎间融合器BTwin植入椎间融合术治疗腰椎退变失稳型椎间盘突出症创伤小,植骨融合率高,临床症状缓解满意。
Abstract:
ObjectiveTo investigate the efficacy of microendoscopic decompression and interbody fusion with Btwin for the patients with degenerative lumbar disc herniation with a unstable disc. MethodsFrom September 2005 to June 2008, 32 cases of unstable herniation of the lumbar disc with degeneration received microendoscopic decompression and interbody fusion with expandable spinal spacer of BTwin. The operational segments included L2/3 (1 case), L3/4 (3 cases), L4/5 (18 cases), and L5/S1 (10 cases). All of the cases were single segmental. ResultsIn the 32 patients, two pieces of Btwin were employed in 23 cases, and single piece in the other 9. One week after the operation, the VAS pain score decreased from 8.7±0.3 to 2.3±1.7 (t=20.64, P=0.001). The patients were followed up for a mean of 25 months (24-29 months), during which, based on the Suk criteria, 1year fusion rate was 93.8% (30/32), and the 2year rate was 96.9% (31/32). No patients showed subsidence of the Btwin. ConclusionsMicroendoscopic decompression and interbody fusion with Btwin through the back route is effective for degenerative unstable herniation of the lumbar disc with less surgical trauma and higher fusion rate.

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更新日期/Last Update: 2013-04-18