Quadrant可扩张管通道系统治疗腰椎管狭窄症的临床疗效观察  

The clinical efficacy of Quadrant expandable tube channel system in the treatment of lumbar spinal stenosis

作　　者：宋晓辉 兰青 佘鹏 

机构地区：[1]哈尔滨市第五医院脊柱外科,黑龙江哈尔滨150010

出　　处：《中国现代医生》2014年第6期43-44,47,共3页China Modern Doctor

摘　　要：目的探讨Quadrant可扩张管通道系统治疗腰椎管狭窄症的临床疗效。方法 42例腰椎管狭窄症患者随机分为观察组和对照组各21例,其中21例应用Quadrant可扩张管通道系统治疗,设立为观察组,其余21例行开放性手术,设立为对照组,比较两组患者术前术后VAS评分、ODI的变化及两组患者的手术时间、术中出血量、切口长度、术后下床活动时间及住院时间。结果观察组患者的手术切口明显短于对照组,观察组患者手术时间、术后患者下床活动时间、平均住院时间均明显短于对照组,且观察组患者术中出血量明显少于对照组(P<0.05)。观察组患者术后VAS评分较对照组降低更显著(P<0.05)。而观察组患者术后ODI指数较对照组变化不显著。结论应用Quadrant可扩张管通道技术治疗腰椎管狭窄症是一种安全有效的微创方法,疗效确切,具有手术创伤小,出血少、恢复快的优点,值得推广和应用。Objective To investigate the efficacy of Quadrant expandable tube in treatment of lumbar spinal stenosis. Methods Forty-two patients were randomly divided into observation group and control group, each of 21 cases, 21 patients treated with expandable tube channel Quadrant treatment system were established as the observation group, the remaining 21 eases open surgery, established as control group, VAS score and ODI of two groups before and after surgery were compared; operative time, blood loss, length of incision, postoperative ambulation time and hospital stay were compared. Results The operative time, postoperative ambulation time, average hospital stay of observation group were significantly shorter than the control group, and the amount of bleeding of observation group was significantly less than control group （P〈0.05）. The VAS score of observation group was significantly lower than control group （P〈0.05）. The postoperative ODI index of observation group and control group was not significant. Conclusion Quadrant expandable tube channel technique in the treatment of lumbar spinal stenosis is a safe and effective minimally invasive approach, and it is worthy of promotion and application.

关 键 词：Quadrant可扩张管通道 微创 腰椎管狭窄症 

分 类 号：R687.3[医药卫生—骨科学]