摘要
目的观察单纯后路减压治疗肥胖病患者腰椎管狭窄症的临床疗效。方法对2008年1月～2011年12月收治的腰椎管狭窄症的肥胖(BMI≥30 kg/m2)患者45例,采用单纯后路椎板减压术治疗。记录手术时间、术中出血量以及手术并发症,并采用JOA评定手术疗效以及采用ODI评定术后脊柱功能恢复情况。结果本组45例患者顺利完成手术,术中未出现硬膜囊撕裂、损伤神经根等并发症。手术时间为(134.4±31.2)min,术中出血量为(226.3±67.4)ml。末次随访时下腰痛JOA评分为25.1±3.7,明显优于术前的8.3±1.2,差异有统计学意义(P<0.05),末次随访时ODI评分为19.1±2.8,明显优于术前的68.2±7.9,差异有统计学意义(P<0.05)。末次随访JOA改善情况:优24例,良18例,可3例。结论单纯后路减压术对肥胖患者腰椎管狭窄症具有良好疗效,能明确缓解患者疼痛以及改善脊柱功能。
Objective To observe the clinical efficacy of posterior decompression in the treatment of obese patients suffered from lumbar spinal canal stenosis. Methods 45 obese patients of lumbar spinal canal stenosis hospitalized from January 2008 to December 2011recieved the treatment of isolated posterior laminecto- my. The operative time, blood loss and the surgical complications of these patients were recorded, and the JOA assessment of surgical efficacy and the ODI assessment of postoperative spine functional recovery were used to e- valuate the surgical effecacy. Results All the 45 patients successfully completed the operation, no intraoper- ative complications such as dural tear, injury of nerve root happened. The mean operation time was （ 134.4 ± 31.2） minutes, and the bleeding volume was （226.3 ± 67.4） ml. Before operation and at last follow-up, the JOA score was 8.3 ± 1.2 vs. 25.1 ±3.7 respectively; And the ODI score was 68.2 ± 7.9 vs. 19.1 ± 2.8 re- spectively. The postoperative JOA and ODI score were both significantly better than the preoperative ones, and the differences were statistically significant （ P 〈 0.05）. The last follow-up results showed the JOA scores im- proved to excellent in 24 cases, good in 18 cases and general in 3 cases. Conclusion It is effective of the posterior decompression in the treatment of obese patients suffered from lumbar spinal canal stenosis with the benefits of the pain relief and spinal function improvement.
出处
《中国现代手术学杂志》
2013年第2期136-138,共3页
Chinese Journal of Modern Operative Surgery
