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首页> 外文期刊>Surgical Endoscopy >Laparoscopic spinal fusion of L4-L5 and L5-S1.
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Laparoscopic spinal fusion of L4-L5 and L5-S1.

机译：L4-L5和L5-S1的腹腔镜脊柱融合术。

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BACKGROUND: Patients with degenerative disc disease were treated by laparoscopic spondylodesis. Clinical outcome and quality of life were then analyzed in a retrospective study. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
机译：背景：椎间盘退行性病变的患者通过腹腔镜脊椎手术治疗。然后在一项回顾性研究中分析了临床结局和生活质量。方法：30名平均年龄为43岁（范围26-63）的患者经历了L4-L5（n = 23），L5-S1（n = 3）或两者（n = 2）水平的不稳定性手术。通过两个BAK圆柱体实现椎体融合术。 6个月后，所有患者均完成了一份问卷，旨在评估对手术结果的满意度。结果：中位随访时间为2.3年（范围为0.9-3.5），有23例患者无疼痛或明显好转。并发症包括出血（n = 2），笼移位（n = 1），逆行射精（n = 3）和术后肠梗阻（n = 1）。据报告，日常活动和生活质量得到了良好的改善。结论：腹腔镜脊椎手术具有良好的临床效果，发病率低。在日常活动和生活质量方面可以取得显着改善;但是，这些改善程度中等，患者活动仍然受到一定限制。

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