摘要
目的:探讨微创单侧入路减压椎体间融合术治疗腰椎椎管狭窄症的近期疗效及安全性。方法:选取符合标准的患者60例,随机分为观察组和对照组各30例,对照组采用传统双侧减压内固定融合术,观察组实施微创单侧入路减压椎体间融合术,比较二者手术一般情况和疗效。结果:观察组患者每节段出血量和术后住院时间均优于对照组,差异存在统计学意义(P<0.05)。两组患者每节段手术时间比较,差异无统计学意义(P>0.05).两组患者术前VAS评分和JOA评分比较,差异无统计学意义(P>0.05)。两组患者术后腰痛及功能恢复较治疗前均得到改善,但是观察组患者术后6个月,VAS评分和JOA评分明显高于对照组,差异存在统计学意义,两组患者均未发生并发症。结论:微创单侧入路减压椎体间融合术治疗腰椎椎管狭窄症近期临床疗效满意,创伤小,患者恢复快,安全性高。
Objective： To investigate the short-term therapeutic effects and safety of minimally-invasive unilaterally-accessed decompressive interbody fusion in treatment of lumbar spinal stenosis. Method： 60 patients meeting the criteria were selected and randomly divided into observation group and control group, 30 patients in each group; the control group was treated with traditional bilaterally-decompressive internal fixa- tion and fusion, while the observation group treated with minimally-invasivc unilaterally-accessed decom- pressive interbody fusion, and the general conditions and therapeutic effects of the two groups were com- pared. Result： The blood loss of each segment and number of days of postoperative hospitalization of the pa- tients of the observation group were both better than the control group, and the differences were statistically significant { P〈0.05 ） ; the difference in the operating time for each segment between the patients of the two groups was statistically insignificant （P〉 0. 05 ）. The differences in preoperative visual analogue scales （ VAS ） score and Japanese Orthopedics Academy （ JOA ） score between the patients of the two groups were statistically insignificant （ P〉0.05 ）. The postoperative 1 and functional rehabilitation of both groups were improved when compared with those before the treatments, but in 6 months after the operations, the VAS score and JOA score of the patients of observation group were significantly higher than those of the con- trol group and the differences were statistically significant. No complications occurred in the patients of either group. Conclusion： Minimally-invasive unilaterally-accessed decompressive interbody short-term therapeutic effects, causes small wounds, is followed by rapid recovery and fusion has satisfying is highly safe.
出处
《河北医学》
CAS
2013年第11期1636-1639,共4页
Hebei Medicine
关键词
腰椎椎管狭窄症
外科手术
微创手术
减压术
椎体间融合术
Lumbar spinal stenosis
Surgery
Minimally-invasive surgery
Decompression
Interbody fusion
