摘要
目的:探讨Coflex棘突间动力内固定装置治疗老年退行性腰椎管狭窄症的临床效果。方法:收集30例在我院采用Coflex棘突间动力内固定装置治疗的老年退行性腰椎管狭窄症患者的临床资料,同时选择同期30例在我院采用经后路椎间植骨融合术(PLIF法)治疗的患者,对两组患者手术时间、术中出血量、术后住院时间、JOA评分和术后好转率进行比较分析。结果:Coflex组手术时间、术中出血量、术后住院时间均少于PLIF组,差异有统计学意义(P<0.05);Coflex组术后JOA评分和术后好转率较PLIF组明显升高,差异有统计学意义(P<0.05);Coflex组术后JOA评分与术前比较明显升高,差异有统计学意义(P<0.05)。结论:Coflex棘突间动力内固定装置治疗老年退行性腰椎管狭窄症,能够有效减小手术过程中的创伤,并且获得较好的术后疗效,值得在临床推广。
Objective：To analyse effect of interspinous U（Coflex） in treatment of the degenerative lumbar spinal stenosis in aged people. Methods：Collected 30 patients with clinical data of lumbar degenerative dynamic internal fixation for the treatment of stenosis of Coflex interspinous in our hospital. And selected the same period in 30 cases in our hospital were treated by posterior lumbar interbody fusion （PLIF）.Analysis of patients with operation time, intraoperative bleeding volume, postoperative hospitalization time, JOA score and postoperative improvement rate of two groups. Results：Compared with PLIF group, the operation time, bleeding volume, postoperative hospitalization time in Coflex group was less,and the JOA score and postoperative improvement rate was better, the difference was statistically significant（P〈0.05）. Compared with before treatment, JOA score was better after treatment in Coflex group, the difference was statistically significant（P〈0.05）. Conclusion：Coflex interspinous dynamic internal fixation for the treatment of degenerative lumbar spinal stenosis, can effectively reduce the trauma of operation process, and obtained good effect after operation. It worth to clinical promotion.
出处
《中国医药导刊》
2014年第4期581-582,584,共3页
Chinese Journal of Medicinal Guide
