62例单纯椎管减压治疗老年Ⅰ度退行性腰椎滑脱的疗效分析  

Analysis on clinical effects of simple vertebral canal decompression for treating 62 cases of degreeⅠsenile degenerative lumbar spondylolisthesis

作　　者：张玉坤[1] 沙吾提江.卡斯木[1] 黄卫民[1] 周纲[1] 任军[1] 

机构地区：[1]新疆医科大学第六附属医院脊柱外科,乌鲁木齐830002

出　　处：《重庆医学》2014年第3期276-277,280,共3页Chongqing medicine

基　　金：新疆维吾尔自治区自然科学基金项目(2011211A044)

摘　　要：目的：观察单纯椎管减压治疗老年Ⅰ度退行性腰椎滑脱患者的手术疗效。方法回顾分析1998年1月至2012年1月62例采用单纯椎管减压术治疗Ⅰ度退行性腰椎滑脱的老年患者，其中男20例，女42例；年龄65～82岁，平均68岁；病程2～7年，平均3．3年。采用日本骨科协会评估治疗分数（JOA ）和视觉模拟评分法（VSA ）评估患者术后平均2年与8．2年时的临床疗效。结果术前JOA评分平均9．7分，术后平均2年和平均8．2年的JOA评分分别为11．7分和12．8分（P＜0．05）；术前VAS评分平均7．8分，术后分别为2．3分和2．6分（P＜0．05）。并发症16例，二次手术4例。结论老年Ⅰ度退行性腰椎滑脱患者在围术期积极控制其他器官系统疾病的基础上，单纯腰椎管减压是一种有效地外科治疗方法，可获得较满意的临床疗效。Objective To investigate the effect of simple vertebral canal decompression for treating degree 1 senile degenerative lumbar spondylolisthesis .Methods 62 cases of degree 1 senile degenerative lumbar spondylolisthesis from January 1998 to January 2012 were retrospectively analyzed .The patients were surgically treated by simple vertebral canal decompression and included 20 males and 42 females ,aged from 65-82 years（mean 68 years） ,with the disease history of 2-7 years（average 3 .3 years） .The clini-cal effects in average postoperative 2 years and 8 .2 years were evaluated by Japanese Orthopaedic Association Scores （JOA ） and Visual Analogue Scale/Score（VAS） .Results The preoperative JOA score was 9 .7 in average and the JOA scores in average post-operative 2 years and 8 .2 years were 11 .7 and 12 .8 respectively（P＆lt;0 .05）;the preoperative VAS score averaged 7 .8 ,which after operation were 2 .3 and 2 .6 respectively（P＆lt;0 .05） .Complications were observed in 16 cases .4 cases accepted reoperation .Conclu-sion In the basis of the actively controlling other organ systems diseases in perioperative period ,simple vertebral canal decompression is an effective method for treating degenerative vertebral canal spondylolisthesis and can obtain the satisfactory therapeutic effect .

关 键 词：脊椎滑脱 退行性 减压 老年 

分 类 号：R687.3[医药卫生—骨科学]