腰椎间盘突出合并脊柱滑脱患者的手术治疗观察  

Observation on Surgical Treatment of Patients with Lumbar Disc Herniation and Spondylolisthesis

作　　者：谢鲤钟[1] 张友[1] 魏星[1] 周继斌[1] 陈晓华[1] 代飞[2] 

机构地区：[1]重庆三峡中心医院,重庆404000 [2]第三军医大学西南医院骨科,重庆400038

出　　处：《现代生物医学进展》2014年第25期4877-4879,4902,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(813711126);万州区科委项目(201203003)

摘　　要：目的:研究手术治疗腰椎间盘突出合并脊柱滑脱的临床疗效。方法:将腰椎间盘突出合并脊柱滑脱的120例患者随机分为两组,其中对照组54例采取保守(非手术)治疗;观察组66例采取手术治疗,对所有接受治疗的患者进行6至9个月不等(平均8个月)的随访,采用视觉模拟评分(VAS)以及腰椎功能障碍指数评分(ODI)两组结果,比较保守和手术治疗的效果。结果:根据VAS和ODI评价结果,手术治疗组疗效明显优于保守治疗组,两治疗组的比较差异具有统计学意义(P<0.05)。结论:手术治疗腰椎间盘突出合并脊柱滑脱效果优于保守治疗,是一种安全、有效的方法,能显著改善临床症状,疗效显著。Objective： To investigate the clinical efficacy of surgical treatment of patients with lumbar disc herniation and spondy- lolisthesis. Methods： 120 patients with lumbar disc herniation and spondylolisthesis were randomly divided into two groups, the 54 patients in the control group received conservative （non-surgical） treatment; the 66 patients in the observer group received surgical treatment, all patients were treated （mean 8 months） follow-up 6-9 months, using two sets of results of the visual analog scale （VAS） and the lumbar dysfunction index （ODI） comparing the efficacy between the control group and the observer group. Results： According to theresuits of VAS and ODI, the efficacy of the surgical treatment group is obviously superior to the conservative treatment group, the difference between the two treatment groups was statistically significant （P〈0.05）. Conclusion： Surgical treatment of lumbar disc herniation with spondylolisthesis is better than conservative treatment, is a safe and effective method which can significantly improve symptoms, the efficacy is significant.

关 键 词：腰椎间盘突出 脊柱滑脱 腰椎滑脱 手术治疗 

分 类 号：R681.5[医药卫生—骨科学]