短节段单侧椎板切除减压椎间植骨融合椎弓根螺钉固定治疗腰椎不稳症的疗效观察  

Curative effect of short segment of unilateral laminectomy decompression of intervertebral bone graft fusion with pedicle screw fixation in treatment of lumbar spine instability

作　　者：张骞[1] 张劼[1] 李保健[1] 扈桂海[1] 

机构地区：[1]聊城市第二人民医院骨科,山东省聊城252601

出　　处：《中国基层医药》2015年第9期1367-1369,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 观察短节段单侧椎板切除减压椎间植骨融合椎弓根螺钉固定治疗腰椎不稳症的临床疗效.方法 选取腰椎不稳症患者100例,采用随机数字表法分为观察组和对照组各50例,观察组采用短节段单侧椎板切除减压椎间植骨融合椎弓根螺钉固定法治疗,对照组采用常规方法进行治疗.观察并比较两组术中、术后情况及临床疗效.结果 观察组手术时间、术中出血量、引流量、住院时间以及住院费用分别为（121.31±13.73）min、（151.24±24.65）mL、（35.34 ±6.79）mL、（12.03 ±3.22）d和（22 012.23 ±3 018.67）元,显著低于对照组的（161.32±11.60） min、（201.32±25.46） mL、（102.35±11.87） mL、（19.42±4.31）d和（26 278.65±3 216.53）元（t=9.829、10.829、7.984、10.983、9.593,均P＜0.05）.观察组优良率为92％,显著高于对照组的70％（χ2=13.927,P＜0.05）.结论 短节段单侧椎板切除减压椎间植骨融合椎弓根螺钉固定治疗腰椎不稳症疗效高、手术时间和住院时间短、术中出血量和术后引流量少、医疗费用低,是一种较好的手术方案.Objective To investigate the curative effect of short segment of unilateral laminectomy decompression of intervertebral bone graft fusion with pedicle screw fixation in treatment of lumbar spine instability.Methods 100 cases with lumbar instability were randomly divided into the study group and control group with 50 cases in each group,the study group was treated with short segment of unilateral laminectomy decompression of intervertebral bone graft fusion with pedicle screw fixation for treatment,while the control group was treated with conventional methods of treatment.The intraoperative,postoperative situation and clinical efficacy of the two groups were observed and compared.Results The operation time,intraoperative bleeding,drainage,hospital stay and cost of hospitalization of the study group were （121.31 ± 13.73） min,（151.24 ± 24.65） mL,（35.34 ± 6.79） mL,（12.03 ± 3.22） d and （22 012.23 ± 3 018.67）yuan respectively,which were significantly lower than those of the control group[（161.32 ± 11.60） min,（201.32 ± 25.46） mL,（102.35 ± 11.87） mL,（19.42 ± 4.31） d and （26 278.65 ± 3 216.53） yuan] （t =9.829,10.829,7.984,10.983,9.593,all P 〈0.05）.The excellent and good rate of the study group was 92%,which was significantly higher than 70% of the control group （χ2 =13.927,all P 〈 0.05）.Conclusion Short segment of unilateral laminectomy decompression of intervertebral bone graft fusion has a high curative effect in the treatment of lumbar instability,with short operation time and hospitalization time,less blood loss and postoperative drainage volume,low medical cost,which is a good operation scheme.

关 键 词：脊柱疾病 椎板切除术 脊柱融合术 内固定器 

分 类 号：R687.3[医药卫生—骨科学]