[1]宋 楹,刘二龙△.MANTIS脊柱系统手术治疗腰椎退变性疾病有效性及安全性研究[J].陕西医学杂志,2019,(11):1496-1499.
 SONG Ying,LIU Erlong..Effectiveness and safety analysis of MANTIS spinal system surgery for lumbar degenerative disease[J].,2019,(11):1496-1499.
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MANTIS脊柱系统手术治疗腰椎退变性疾病有效性及安全性研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年11期
页码:
1496-1499
栏目:
临床研究
出版日期:
2019-11-05

文章信息/Info

Title:
Effectiveness and safety analysis of MANTIS spinal system surgery for lumbar degenerative disease
文章编号:
DOI:10.3969/j.issn.10007377.2019.11.024
作者:
宋 楹刘二龙△
陕西省铜川市人民医院(铜川 727100)
Author(s):
SONG YingLIU Erlong.
Tongchuan People’s Hospital in Shaanxi Province (Tongchuan 7271000)
关键词:
腰椎退变性疾病治疗MANTIS脊柱系统手术安全性并发症对比研究
Keywords:
Key words Lumbar degenerative diseaseTherapyMANTIS spinal system surgerySafetyComplicationComparative study
分类号:
R683
文献标志码:
A
摘要:
摘 要 目的:探讨MANTIS脊柱系统手术治疗腰椎退变性疾病的有效性及其安全性。方法:选取腰椎退变性疾病患者77例,采用随机数表法分为两组,试验组38例,对照组39例。对照组患者行传统开放式椎间孔融合术治疗,试验组采用MANTIS脊柱系统手术治疗,观察和比较两组患者治疗效果。结果:两组患者术后JOA评分优良率比较,试验组明显高于对照组(P<005);两组患者围术期各项指标比较,试验组术中出血量和术后引流量低于对照组(P<005);两组手术时间比较无统计学差异(P>005);住院时间比较,试验组明显低于对照组(P<005);术后并发症发生率比较,试验组明显低于对照组(P<005)。结论:腰椎退变性疾病采用MANTIS脊柱系统手术治疗能快速改善患者临床症状,纠正腰椎功能,疗效显著,术后并发症少,治疗安全性高,有推广应用价值。
Abstract:
Abstract Objective:To investigate the efficacy and safety of MANTIS spinal system in the treatment of lumbar degenerative disease.Methods:77 patients with lumbar degenerative disease were enrolled. The patients were divided into two groups by random number table,38 cases in the experimental group and 39 cases in the control group. The patients in the control group underwent conventional open interbody fusion. The experimental group was treated with the MANTIS spine system surgery. The therapeutic effects of the two groups were observed and compared.Results:The excellent rate of postoperative JOA score was significantly higher in the experimental group than that in the control group (P<0.05). The perioperative parameters of the two groups were compared. The intraoperative blood loss and postoperative drainage were lower in the experimental group than those in the control group (P<005);there was no significant difference in operation time (P>0.05);the hospitalization time was significantly lower in the experimental group than that in the control group (P<005);the incidence of postoperative complications in the experimental group was significantly lower than that in the control group (P<005). Conclusion:MANTIS spinal system surgery for lumbar degenerative disease can quickly improve the clinical symptoms,correct lumbar function,and have significant curative effect. There are few postoperative complications,high treatment safety,and popularization and application value.

参考文献/References:

[1] 胡旭栋,马维虎,蒋伟宇,等.极外侧椎间融合联合经皮螺钉固定术治疗腰椎退变性疾病的早期疗效及安全性[J]. 中国骨伤,2017,30(2):8083.
[2] 刘新宇,原所茂,田永昊,等.微创经椎间孔腰椎椎间融合在腰椎退行性疾病翻修中的应用[J].中华骨科杂志,2017,37(3):137144.
[3] Ding F,Jia ZW,Zhao ZA,et al. Total disc replacement versus fusion for lumbar degenerative disc disease:a systematic review of overlapping metaanalyses[J]. European Spine Journal,2017,26(3):110.
[4] 张友明.颈腰椎病的预防与治疗\[C\]//中医特色诊疗国际学术会议,2011:1521.
[5] 周 庆,孔清泉,张 斌,等.经皮脊柱内镜处理双节段腰椎管狭窄症合并椎管内骨化三例报告[J].中国骨与关节杂志,2019,8(2):8085.
[6] Yamasaki K,Hoshino M,Omori K,et al.Risk factors of adjacent segment disease after transforaminal interbody fusion for degenerative lumbar disease[J]. Spine,2017,42(2):E86E89.
[7] 张永峰,张世磊,袁 斌,等.显微镜辅助下经椎间孔椎间融合微创治疗腰椎退变性疾病的临床疗效比较[J]. 中华解剖与临床杂志,2018,23(3):198202.
[8] 王 强,姚同意,胡 浩,等.脊柱微创通道镜系统辅助改良经椎间孔腰椎椎间融合术治疗腰椎退行性疾病[J]. 中外医疗,2018,37(11):2830.
[9] 朱卉敏,张 锴,王 衡,等.椎间孔镜联合短节段固定治疗多节段腰椎退变性疾病的短期疗效[J].中国矫形外科杂志,2018,27(17):16241626.
[10] 金 翔,吕飞舟,马晓生,等.肌电图对多节段腰椎退行性疾病责任节段定位的诊断价值[J].中国脊柱脊髓杂志,2017,4(5):7073.
[11] Jin C,Jaiswal MS,Jeun SS,et al. Outcomes of oblique lateral interbody fusion for degenerative lumbar disease in patients under or over 65 years of age[J]. Journal of Orthopaedic Surgery & Research,2018,13(1):3840.
[12] 蔡奋忠.微创经椎间孔腰椎融合内固定术与传统后路开放手术治疗腰椎退行性疾病的比较研究[J].中国现代医生,2017,8(21):4043.
[13] 田俊华,袁宏伟.改良经椎间孔腰椎椎间融合术及脊柱微创通道镜系统对腰椎退行性疾病的治疗效果[J].中国实用医刊,2017,44(9):7072.
[14] 张昌猛,李皓雲,李树山,等.Dynesys与后路减压融合内固定术治疗腰椎退行性疾病临床疗效的系统评价[J]. 中国骨伤,2018,31(6):8289.
[15] 陈建华,陈 勇,李万年,等.微创腰椎间融合术治疗早中期腰椎退行性变疾病患者的临床疗效[J]. 陕西医学杂志,2016,45(8):985986.
[16] 张永峰,张世磊,袁 斌,等.显微镜辅助下经椎间孔椎间融合微创治疗腰椎退变性疾病的临床疗效比较[J]. 中华解剖与临床杂志,2018,23(3):198202.
[17] 辛 欣,李国庆,岳 晨,等.钛网后方椎管成形术治疗下腰椎退变性疾病的疗效观察[J].陕西医学杂志,2015,44(6):684686.
[18] 刘付仟,梁伟国,叶冬平. 髓核置换、全椎间盘置换及腰椎后路动态稳定系统治疗腰椎退行性疾病的应用与思考[J]. 中国组织工程研究,2017,21(3):440444.

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更新日期/Last Update: 2019-11-15