单节段固定关节突峡部融合治疗年轻人轻度峡部裂腰椎滑脱的临床观察  

Observation on the Clinical Efficacy of Single Segment Fixed and Zygapophysis Fusion in the Treatment of Low Degree Spondylolisthesis for Young Person

作　　者：王彦东 赵燕[2] 党培业 张伟 马琼[3] 李耀章 

机构地区：[1]陕西省榆林市星元医院(榆林市第四医院)骨2科,陕西榆林719000 [2]济南市疾病预防控制中心,山东济南250000 [3]第四军医大学唐都医院全军骨科中心,陕西西安710038

出　　处：《现代生物医学进展》2017年第32期6287-6290,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81201633)

摘　　要：目的:介绍和分析单节段固定关节突峡部融合治疗年轻人轻度峡部裂腰椎滑脱的临床应用。方法:对2010.01-2016.01来我院就诊,诊断为峡部裂伴轻度腰椎滑脱的共计46例青年患者(<30岁),采用单节段固定结合关节突峡部融合的方法进行治疗。分析包括患者术前与术后3月、6月及12月VAS(Visual Analogue Scale)疼痛评分,Lehmann腰椎功能评分等功能恢复指标的比较及融合率、并发症等临床观察指标的总结。结果:所有患者均至少接受12个月的术后随访,患者在术后(3,6,12月)的VAS评分及Macnab评分较术前均有显著改善和提高(P<0.05)。影像资料显示:未出现不融合现象。1例患者出现皮肤浅层感染,处理后好转,余无明显并发症出现。结论:对于年轻人的轻度峡部裂伴腰椎滑脱患者,使用单节段固定结合关节突峡部融合的方法具有较好的疗效,且对后期影响较小。Objective： To introduce and evaluate the clinical outcomes of single segment fixed and zygapophysis fusion in the treatment of low degree spondylolisthesis for young person. Methods： 46 patients who were admitted in our hospital from 2010.01 to 2016.01 and diagnosed as low degree spondylolisthesis were cured by single segment fixed and zygapophysis fusion were evaluated by visual analogue scale （VAS）, X ray or MRI and the Lehmaun Lumbar function score. Results： All patients were followed up at least 12 months after the operation. The results of postoperative （3,6,12 months after the operation） VAS and Lehmann score were obviously improved compared with preoperative evaluation （P〈0.05）. There was no bone gratt non fusion in any of the patients during follow-up on X-my or MRI assessment. 1 patient had shallow skin infection which was better after curing and no other complication was shown. Conclusion： Using single segment fixed and zygapophysis fusion curing low degree spondylolisthesis of young person could effectivly cure pain and long-term complication.

关 键 词：滑脱 峡部裂 融合 临床疗效 

分 类 号：R681[医药卫生—骨科学]