合并糖尿病的腰椎管狭窄症患者手术治疗效果分析  

Clinical outcomes of decompression in patients with lumbar spinal stenosis combined with diabetes mellitus

作　　者：宋友东[1] 李书纲[1] 纪强 许德荣[1] 任志楠[1] 蔡思逸[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院骨科,北京100730 [2]青岛市中心医院脊柱外科,山东青岛266042

出　　处：《中国骨与关节外科》2014年第1期5-8,共4页Chinese Journal of Bone and Joint Surgery

摘　　要：背景:糖尿病常因合并腰椎管狭窄症而需手术治疗,若同时合并糖尿病性周围血管或神经病变,其手术效果往往会受到很大影响。但目前很少有学者对合并糖尿病的腰椎管狭窄症患者的临床疗效进行随访研究。目的:探讨合并糖尿病的腰椎管狭窄症患者的手术治疗效果。方法:回顾性分析2008年3月至2012年12月手术治疗的腰椎管狭窄症患者94例,分为合并糖尿病组(A组)及单纯腰椎管狭窄症组(B组)各47例。通过比较两组患者体重指数、住院时间、融合节段、手术时间、术中出血量、术后引流量、围手术期并发症发生率、术前及术后1年随访的VAS评分及JOA评分、术后1年融合率等临床指标评价糖尿病对腰椎管狭窄症患者手术疗效的影响。结果:两组患者的性别、年龄、手术时间、术中出血量、围手术期并发症发生率、术前及术后1年随访的VAS评分及JOA评分、术后1年融合率均无统计学差异(P>0.05),两组患者的体重指数、住院时间、术后引流量有统计学差异(P<0.05)。结论:合并糖尿病的腰椎管狭窄症患者的住院时间明显延长,术后引流量增加,但手术疗效尚可。Background：There are few studies on surgical outcome in the patients with lumbar spinal stenosis combined with diabetic peripheral vascular or nervous diseases. Objective：To explore the surgical outcome in the patients with lumbar spinal stenosis accompanied by diabetes mellitus. Methods：Ninety four patients received lumber spinal canal decompression in our hospital from March 2008 to December 2012 and were divided into two groups：diabetic group （n=47） and non-diabetic group （n=47）. Body mass index （BMI）, hos-pital stay, fused segments, operative time, intraoperative blood loss, postoperative drainage, complications, JOA and VAS scores, and fusion rate were compared between two groups. Results：There were no significant differences in terms of gender, age, operative time, intraoperative blood loss, complica-tions, JOA and VAS scores or fusion rate between two groups（P＆gt;0.05）. However, BMI, hospital stay and postoperative drainage indicated significant difference between two groups（P＆lt;0.05）. Conclusions：Hospital stay and postoperative drainage will increase in the patients with lumbar spinal stenosis accompanied by diabetes mellitus, but patients are satisfied with surgical outcome.

关 键 词：糖尿病 腰椎管狭窄症 治疗效果 

分 类 号：R687.3[医药卫生—骨科学]