经quadrant微创通道单侧固定及椎间融合治疗复发性腰椎间盘突出症的临床对比研究  

Clinical study on treatment of recurrent lumbar disc herniation by unilateral fixation and interbody fusion with quadrant minimally invasive channel

作　　者：黄晓魏[1] 颜志坚[1] 麦伟[1] 张维成[1] 李智[1] 方文焕[1] 曹智全[1] 伍一[1] 

机构地区：[1]广东湛江中心人民医院骨外一科,广东湛江524037

出　　处：《中国伤残医学》2017年第7期1-3,共3页Chinese Journal of Trauma and Disability Medicine

基　　金：项目类别：湛江市非资助科技攻关计划项目,编号：2013801270,名称：经quadrant微创通道单侧固定及椎间融合治疗复发性腰椎闾盘突出症的临床研究

摘　　要：目的：探讨临床治疗复发性腰椎间盘突出症的可靠方法 ,以便为复发性腰椎间盘突出症的临床治疗和相关研究提供借鉴和参考依据.方法：选取2010年6月~2014年5月期间我院临床收治的复发性腰椎间盘突出症患者36例为研究对象,根据患者临床治疗方法的不同将其分成了研究组（给予微创椎弓根钉固定融合术治疗）和对照组（给予传统开放双侧侧椎弓根钉固定融合治疗）,各18例.对2组患者疼痛评分、ODI功能障碍指数、临床手术指标和综合治疗效果进行观察和比较.结果：研究组患者术后1天的疼痛评分显著低于对照组,且差异有统计学意义,2组患者术后6个月的疼痛评分水平差异无统计学意义,2组术后6个月的疼痛评分均显著低于术后1天,差异有统计学意义;2组患者术前和术后6个月的功能障碍指数差异均无统计学意义,2组术后6个月的功能障碍指数均显著低于术前,差异有统计学意义;研究组患者的出血量、切口长度、卧床时间和住院时间等临床手术指标均明显优于对照组,差异有统计学意义;优良率组间比较差异无统计学意义.结论：在临床针对复发性腰椎间盘突出症患者实施治疗的实践过程中,采用经quadrant微创通道单侧固定及椎间融合治疗的临床综合效果显著,具有出血量少、切口小、恢复快等优点.Objective： To explore a reliable method for clinical treatment of recurrent lumbar disc herniation, so as to provide reference for clinical treatment and related research of recurrent lumbar disc herniation. Methods： From June 2010 to May 2014, 36 cases of recur- rent lumbar disc herniation in our hospital were selected as the research object. According to the different clinical treatment methods, they were divided into the study group （ given minimally invasive pedicle screw fixation and fusion for treatment） and control group （ given the traditional open bilateral pedicle screw fixation and fusion for the treatment of）, 18 cases in each. The pain score, ODI of functional disa- bility index, clinical index and comprehensive treatment effect of the two groups were observed and compared. Results： Study group of pa- tients after one days of pain score was significantly lower than the control group, and the difference was statistically significant, no signifi- cant difference in the level of pain score 6 months after operation in the two groups, the two groups after 6 months of pain scores were sig- nificantly lower than that in 1 days after operation, the difference was statistically significant; two groups of patients before and after the 6 months disability index differences were not statistically significant, the two groups after 6 months of dysfunction index were significantly lower than the preoperative, the difference was statistically significant; the operation index of patients in the study group, blood loss, length of incision, bed time and hospital stay time clinical were better than the control group, the difference was statistically significant no statistical significance; There was no significant difference in the excellent rate between the two groups. Conclusion： In clinical for recur- rent lumbar disc herniation in patients with the implementation of treatment in the process of practice by the quadrant minimally invasive u- nilateral fixation and interbody fusion in the treatment of t

关 键 词：经quadrant微创通道单侧固定 椎间融合 复发性腰椎间盘突出症 

分 类 号：R681.5[医药卫生—骨科学]