减压融合内固定术联合椎间融合器治疗退变性腰椎管狭窄的治疗效果  

Decompression and internal fixation combined with interbody fusion for degenerative lumbar spinal stenosis

作　　者：李维[1] 卞斌[1] 张亚林[1] 屈志强[1] 

机构地区：[1]汉中市中心医院骨三科,陕西汉中723000

出　　处：《局解手术学杂志》2015年第5期527-529,共3页Journal of Regional Anatomy and Operative Surgery

基　　金：卫生部医药科技卫生发展计划课题(W2014ZT190)

摘　　要：目的探讨减压融合内固定术联合椎间融合器治疗退变性腰椎管狭窄的治疗效果。方法选择2012年1月至2012年6月我院100例退变性腰椎管狭窄患者进行研究,按是否减压融合内固定分为观察组和对照组。对照组50例患者行椎间融合器治疗;观察组50例患者在对照组基础上给予减压融合内固定术。比较2组患者治疗3个月以及2年腰痛VAS评分、腿痛VAS评分、椎间隙高度、Cobb角、ODI评分的情况。结果治疗后3个月,观察组的腰痛的VAS评分、腿痛VAS评分、ODI评分均低于对照组,2组比较有统计学差异(P<0.05)。观察组的椎间隙高度高于对照组,2组比较有统计学差异(t=4.110 0,P=0.000 1)。治疗2年后,观察组腰痛VAS评分、腿痛VAS评分及ODI评分仍低于对照组,2组比较有统计学差异(P<0.05)。观察组椎间隙高度仍高于对照组(P<0.05)。在Cobb角度上改善不是很明显。结论减压融合内固定术联合椎间融合器治疗退变性腰椎管狭窄效果良好,远期效果也很好,值得临床推广。Objective To study decompression and internal fixation combined with interbody fusion for degenerative lumbar spinal stenosis. Methods One hundred cases with degenerative lumbar spinal stenosis from January 2012 to June 2012 were researched. They were randomly divided into observation group and control group. Fifty patients in the control group,they were given treatment of interbody fusion.The observation group had 50 patients,using decompression and internal fixation on the basis of the control group. The back pain VAS score,leg pain VAS score,disc height,Cobb angle,ODI score of patients 3 months and 2 years after treatment were compared with each other. Results After 3 months of treatment,back pain VAS score,leg pain VAS score,ODI scores of the observation group were lower than those of the control group,the difference was significant（ P〈0. 05）. Intervertebral height of observation group was higher than that of control group,the difference was significant（ t = 4. 110 0,P = 0. 000 1）. After 2 years of treatment,back pain VAS score,leg pain VAS score and ODI score of the observation group was still lower than those of the control group,the difference was significant（ P〈0. 05）. Intervertebral height of the observation group still higher（ P〈0. 05）. The change of Cobb angle was not obvious. Conclusion Decompression and internal fixation combined with interbody fusion for degenerative lumbar spinal stenosis has a good effect,which is worthy of promotion in clinic.

关 键 词：内固定 椎间融合器 退变性腰椎管狭窄 

分 类 号：R681.53[医药卫生—骨科学]