不同疗法治疗退行性腰椎管狭窄症临床观察  

Clinical Observation of Different Therapies for Treating Degenerative Lumbar Spinal Stenosis

作　　者：李慧[1] 张晓[1] 张嘉良[1] 江艺[1] 

机构地区：[1]广东省第二中医院,广东广州510095

出　　处：《河南中医》2015年第7期1558-1559,共2页Henan Traditional Chinese Medicine

摘　　要：目的：观察不同疗法治疗退行性腰椎管狭窄症的疗效。方法：选取退行性腰椎管狭窄症患者40例,随机分为牵引锻炼组12例,椎板药物注射组14例和全椎板切除组14例。牵引加腰背肌锻炼组给予牵引锻炼治疗,椎板药物注射组给予病椎椎板药物注射治疗,全椎板切除组给予全椎板切除加根管扩大治疗。结果：40例患者均获得随访,时间8个月-3 a,平均（20±5.26）个月。三组末次随访时JOA评分均优于治疗前（P〈0.05）;三组JOA评分改善率比较,无统计学意义（P〈0.05）。结论：保守治疗和手术治疗对退行性腰椎管狭窄症均有显著疗效。Objective： To observe the clinical effect of different therapies on degenerative lumbar spinal stenosis（ DLSS）. Methods：40 cases with DLSS were randomized into traction accompanied with lumbodorsal muscles exercises group（ group1,12 cases）,vertebral plate drug injection group（ group2,14 cases） and total laminectomy accompanied with root canal enlargement group（ group 3,14 cases）. Group 1 were performed traction in combination with lumbodorsal muscles exercises; group 2 were given drug injection for vertebral plate; group 3 were given total laminectomy accompanied with root canal enlargement treatment. Results： All of the 40 cases got follow up and the duration is 8 months to 3a,with the average（ 20 ± 5. 26） months. The JOA scores of the last follow up in three group were all better than these before the treatment（ P〈0. 05）. The difference in the improvement rate of JOA scores among the three groups had no statistical significance（ P〈0. 05）. Conclusion： Both conservative treatment and surgery treatment have remarkable effects on DLSS.

关 键 词：退行性椎管狭窄症 保守治疗 手术治疗 JOA评分 

分 类 号：R274.981.55[医药卫生—中西医结合]