微创腰椎后路减压融合术与传统全椎板切除术治疗腰椎管狭窄的对照研究  

Control study on minimally invasive posterior lumbar decompression and fusion and traditional total laminectomy for lumbar spinal stenosis

作　　者：周波[1] 王强[1] 

机构地区：[1]江苏省宜兴市人民医院骨科,江苏宜兴214200

出　　处：《实用临床医药杂志》2013年第14期18-20,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11321034)

摘　　要：目的比较微创腰椎后路减压融合术与传统全椎板切除术治疗腰椎管狭窄的疗效及临床应用价值。方法将138例腰椎管狭窄患者随机分为观察组68例及对照组70例。观察组给予微创腰椎后路减压融合术治疗,对照组给予传统全椎板切除术治疗。比较2组手术情况、视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、日本骨科学会(JOA)评分及术后不良反应发生率。结果观察组术中出血量、手术切口长度及住院时间均显著小于对照组(P<0.01)。观察组VAS及ODI降低幅度显著大于对照组(P<0.01)。2组不良反应发生率无显著差异(P>0.05)。结论微创腰椎后路减压融合术治疗腰椎管狭窄创伤小,术中出血少,疗效确切,术后腰痛残留较低,减少手术风险和后遗症,值得在临床推广应用。Objective To compare the therapeutic effect and clinical application value of minimally invasive posterior lumbar decompression and fusion and traditional total laminectomy in the treatment of lumbar spinal stenosis.Methods One hundred and thirty-eight patients with lumbar spinal stenosis were divided into observation group （n =68） and control group （n =70）.The observation group was given minimally invasive lumbar posterior dencompression and fusion,while the control group was given traditional total laminectomy treatment.The operation situation,visual analogue scale （VAS）,oswestry disability index （ODI）,Japanese orthopaedic association （JOA） score and incidence of postoperative adverse reactions in two groups were compared.Results The bleeding amount during operation,incision length,hospital stays in the observation group were significantly lower than those in the control group （P ＜ 0.01）.The reducing degree of VAS and ODI in the observation group were significantly larger than those in the control group （P ＜ 0.01）.The incidences of adverse reaction in both groups had no significant difference （P ＞0.05）.Conclusion Minimally invasive lumbar posterior decompression and fusion in the treatment of lumbar spinal stenosis has small trauma,less bleeding,specific curative effect,lower postoperative pain and reduced operation risk and complications,so it is worthy of clinical application.

关 键 词：微创 腰椎管狭窄 减压融合术 全椎板切除术 对照研究 

分 类 号：R681.5[医药卫生—骨科学]