Geerdes B P, Geukers C W, van Erp W F
Department of General Surgery, Deaconess Hospital, DS Theodoor Fliednerstaat 1, The Netherlands.
Surg Endosc. 2001 Nov;15(11):1308-12. doi: 10.1007/s004640000184. Epub 2001 Sep 4.
Patients with degenerative disc disease were treated by laparoscopic spondylodesis. Clinical outcome and quality of life were then analyzed in a retrospective study.
Thirty patients with a mean age of 43 years (range, 26-63) who suffered from instability of levels L4-L5 (n = 23), L5-S1 (n = 3), or both (n = 2) underwent surgery. Spondylodesis was achieved with two BAK cylinders. After 6 months, all patients completed a questionnaire designed to assess satisfaction with the operative outcome.
After a median follow-up of 2.3 years (range, 0.9-3.5), 23 patients were free of pain or greatly improved. Complications included bleeding (n = 2), cage displacement (n = 1), retrograde ejaculation (n = 3), and postoperative ileus (n = 1). Good improvement was reported in daily activities and quality of life.
Laparoscopic spondylodesis has a good clinical outcome with a low rate of morbidity. Notable improvements can be achieved in terms of daily activities and quality of life; however, these improvements are moderate in degree, and patient activity remains somewhat limited.
对患有退行性椎间盘疾病的患者进行了腹腔镜脊柱融合术治疗。然后在一项回顾性研究中分析了临床结果和生活质量。
30例平均年龄43岁（范围26 - 63岁）的患者接受了手术，这些患者存在L4 - L5节段不稳定（23例）、L5 - S1节段不稳定（3例）或两个节段均不稳定（2例）。使用两个BAK椎间融合器实现脊柱融合。6个月后，所有患者完成了一份旨在评估对手术结果满意度的问卷。
中位随访2.3年（范围0.9 - 3.5年）后，23例患者无疼痛或病情大幅改善。并发症包括出血（2例）、椎间融合器移位（1例）、逆行射精（3例）和术后肠梗阻（1例）。患者的日常活动和生活质量有明显改善。
腹腔镜脊柱融合术临床效果良好，发病率低。在日常活动和生活质量方面可取得显著改善；然而，这些改善程度中等，患者活动仍有一定限制。
