《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (06): 517-519.

• 论文 • 上一篇    下一篇

年龄对腰椎后路融合术围手术期特点的影响

李文学，高金枝   

  1. 胜利石油管理局胜利医院骨科，山东东营市257000。
  • 收稿日期:2012-12-17 修回日期:2013-02-20 出版日期:2013-06-25 发布日期:2013-06-25

Influence of Age on the Perioperative Characteristics of Posterior Lumbar Interbody Fusion

LI Wen-xue, GAO Jin-zhi.   

  1. Department of Orthopaedic, Shengli Hospital of Shengli Petroleum Administration, Dongying 257000, Shandong, China
  • Received:2012-12-17 Revised:2013-02-20 Published:2013-06-25 Online:2013-06-25

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摘要： 目的评价年龄因素对腰椎后路融合术围手术期特点的影响。方法回顾性收集行腰椎后路融合术的病例共129 例(25~91 岁)。按照年龄分为对照组(<65 岁，n=85)和试验组(  65 岁，n=44)。观察指标包括美国麻醉医师协会(ASA)评分、融合节段、估计出血量、并发症和住院时间。结果试验组ASA评分显著高于对照组(P<0.001)。两组术后并发症、出血量、手术持续时间无显著性差异(P>0.05)。结论年龄偏大并不会增加腰椎后路融合术围手术期的并发症，高龄不应作为手术的禁忌症。

关键词: 腰椎后路融合术, 术后并发症, 出血, 年龄

Abstract: Objective To investigate the influence of age on the perioperative characteristics of posterior lumbar interbody fusion (PLIF). Methods 129 patients (25~91 years old) with spondylolisthesis, lumbar stenosis and/or disc degeneration/herniation with instability,or unsuccessful results after a failed previous PLIF. They were divided into control group (<65 years old, n=85) and experimental group (<65 years old, n=44). The American Society of Anesthesiologists (ASA) score, the number of fusion segments, estimated blood loss and hospital stay were observed. Results The ASA score was higher in the experimental group than in the control group (P<0.001). There was no significant difference in complications, estimated blood loss and operative time (P>0.05) between 2 groups. Conclusion Age can not increase the rate of perioperative complications of PLIF, and the advanced age should not be surgical contraindication.

Key words: posterior lumbar interbody fusion, postoperative complication, blood loss, age