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《單側(cè)與雙側(cè)tlif術(shù)治療單節(jié)段腰椎退行性疾患的中長(zhǎng)期療效比較》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫(kù)。
1、山西醫(yī)科大學(xué)碩士學(xué)位論文斷釘?shù)惹闆r發(fā)生。結(jié)論：?jiǎn)蝹?cè)椎弓根螺釘內(nèi)固定聯(lián)合TLIF與雙側(cè)固定在治療單節(jié)段腰椎退行性疾病中長(zhǎng)期臨床療效均滿(mǎn)意，單側(cè)TLIF更具有手術(shù)時(shí)間短、術(shù)中出血少、住院時(shí)間短等優(yōu)點(diǎn)，是治療單階段腰椎退行性疾病的較好選擇，但手術(shù)適應(yīng)癥我們應(yīng)嚴(yán)格掌握。關(guān)鍵詞：?jiǎn)蝹?cè)；雙側(cè)；TLIF；腰椎退行性疾患II山西醫(yī)科大學(xué)碩士學(xué)位論文ToComparetheMid-and-longTermClinicalEffectoftheTreatmentofUnilateralandBilateralTLIFSingle
2、SegmentalLumbarDegenerativeDiseaseAbstractObjective:Tocomparethemid-and-longtermclinicaleffectofthetreatmentofunilateralandbilateralTLIFsinglesegmentallumbardegenerativedisease.Methods:Aretrospectiveanalysisofatotalof171casesofhospitalizedpatientsforsingles
3、egmentallumbardegenerativediseaseinourhospitalfromMarch2007toMarch2007.Accordingtotheinclusioncriteria,patientsweredividedintounilaterallumbarpediclescrewfixationcombinedwithTLIFtechniquegroupandbilateralpediclescrewfixationcombinedwithTLIFgroup.Theunilater
4、algrouphad79cases,76caseswerefollowedup，male38andfemale41cases,aged25to65yearsold,averaged45.3yearsold.Thebilateralgrouphad92cases,87caseswerefollowedup，male53andfemale39cases,aged26to70yearsold,averaged50.1yearsold.Allpatientswiththeimprovedpreoperativelum
5、barspineX-ray,CTandMRIexaminationwereoperatedbythesamegroupofphysicianslineofunilateralorbilateralpediclescrewfixationcombinedwithTLIFtechnique.Operationtime,intraoperativebloodloss,postoperativeflowandhospitalizationdayswererecorded.Japaneseorthopaedicasso
6、ciation(JOA)scoremethodandvisualanaloguescale(VAS)wereusedtoassesspatients’curativeeffectsinpreoperativeandpostoperative3monthsandthepainsituationofthelastfollow-up.Throughtheimagingmeasurementoperationsegmentsintervertebralheight,vertebralIII山西醫(yī)科大學(xué)碩士學(xué)位論文fu
7、sionbetweenthesituationatthetimeofthelastfollow-upandanalysisofrelatedcomplicationswereassessed.Results:Patientfollow-uptime5to8years,anaverageof6.8years,preoperativeandpostoperativeJOAandtimeattheendofthefollow-upandVASscoreofunilateralandbilateralgroupwas
8、nosignificantdifference(P>0.05),preoperativeandpostoperativedifferencewasstatisticallysignificant(P<0.05).Inunilateralandbilateralgroup,therewasnostatisticallysignificantdifferenceinintervertebraldisch
