Kết quả phẫu thuật hẹp ống sống thắt lưng và trượt đốt sống thắt lưng bằng đường mổ lối bên tại Bệnh viện Đại học Y Hà Nội=Results of treatment of lumbar spinal stenosis and lumbar spondylolisthesis using extreme lateral interbody fusion lumbar and posterior percutaneous screw at Hanoi Medical University Hospital

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Tác giả: Đại Hà Dương, Minh Tân Hoàng, Đình Hùng Kiều, Vũ Nguyễn, Trung Kiên Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.19-27

Bộ sưu tập: Báo, Tạp chí

ID: 244697

Thêm vào giỏ

Evaluating the results of lateral interbody bone graft surgery and posterior percutaneous screw for treating lumbar stenosis and lumbar spondylolisthesis at Hanoi Medical University Hospital. Patients diagnosed with lumbar spinal stenosis and lumbar spondylolisthesis were treated surgically with the XLIF (extreme lateral interbody fusion) at Hanoi Medical University Hospital. Results: 18 patients with 19 levels surgery 7 subjects are male, 11 are female, average age is 58.83 ± 8.679. There were 6 cases of spondylolisthesis and 12 cases of lumbar spinal stenosis. The main clinical symptoms are back pain (100%), unilateral radicular pain (77.8%), and claudication from 100 to 500m (38.9%). 17 cases of 1-stage XLIF surgery, 1 cases of 2-stage XLIF surgery, average surgery time was 138.95 ± 39.001 minutes, average blood loss was 30.37 ± 30.015ml. There were one case failure, 1 case of abdominal wall hernia. XLIF surgery is a minimally invasive surgical method that reduces pain, does not damage the paravertebral muscles, reduces bleeding, indirect decompression does not affect the spinal canal.Mục tiêu đánh giá kết quả phẫu thuật ghép xương liên thân đốt lối bên và nẹp vít qua da lối sau điều trị bệnh hẹp ống sống thắt lưng và trượt đốt sống thắt lưng tại Bệnh viện Đại học Y Hà Nội. Có 18 bệnh nhân với 19 tầng phẫu thuật hẹp ống sống thắt lưng và trượt đốt sống thắt lưng được điều trị phẫu thuật bằng phương pháp XLIF (extreme lateral interbody fusion) tại Bệnh viện Đại học Y Hà Nội. 18 bệnh nhân với 19 tầng phẫu thuật, 6 trường hợp trượt đốt sống, 12 trường hợp hẹp ống sống. Triệu chứng đau lưng (100%), đau kiểu rễ 1 bên (77,8%), đi lặc cách hồi từ 100 - 500m (38,9%). 17 trường hợp phẫu thuật 1 tầng, 1 trường hợp phẫu thuật 2 tầng, thời gian phẫu thuật trung bình 138,95 ± 39,001 phút, mất máu trung bình 130,37 ± 30,015ml. Có 1 trường hợp thất bại, 1 trường hợp thoát vị thành bụng. Phẫu thuật XLIF là phương pháp phẫu thuật ít xâm lấn giúp giảm đau, ít chảy máu, giải ép gián tiếp không tác động vào ống sống.

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