后路减压植骨融合内固定术对高位腰椎间盘突出症患者VAS及ODI评分影响及其安全性  

Effect of posterior decompression and fusion with internal fixation on VAS and ODI scores in patients with high lumbar disc herni ation and its safety

作　　者：刘艳[1] 王丽丽[1] 施光南 LIU Yan, WANG Li-li, SHI Guang-nan(Department of Spinal Surgery, the First Hospital of Jilin University, Changchun 130021, Chin)

机构地区：[1]吉林大学第一医院脊柱外科,长春130021

出　　处：《中国医学前沿杂志（电子版）》2018年第6期201-204,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的分析后路减压植骨融合内固定术对高位腰椎间盘突出症患者视觉模拟评分法(visual analogue scale,VAS)及Oswestry功能障碍指数(Oswestry disability index,ODI)评分的影响及其安全性。方法选择本院2013年4月至2017年9月确诊并救治的88例高位椎间盘突出症患者为研究对象,采用随机数表法将其分为对照组和观察组,每组各44例;对照组患者行前路减压植骨融合内固定术,观察组患者行后路减压植骨融合内固定术。比较两组患者手术相关指标、术后VAS评分和ODI评分、手术优良率及术后并发症发生情况。结果观察组患者术中出血量明显少于对照组(P<0.01),手术时间、住院天数及切口愈合时间均明显短于对照组(P_均<0.01)。术后,观察组患者VAS评分、ODI评分及总并发症发生率均明显低于对照组(P_均<0.01),手术优良率明显高于对照组(P<0.05)。结论后路减压植骨融合内固定术治疗高位腰椎间盘突出症,能显著缩短手术时间,减少术中出血量和并发症,降低术后疼痛评分及功能障碍评分,具有一定的临床推广价值。Objective To analyze the effect of posterior decompression and fusion with internal fixation on visual analogue scale（VAS） and Oswestry disability index（ODI） scores in patients with high lumbar disc herniation and its safety. Method 88 patients with high lumbar disc herniation diagnosed and treated in our hospital from April 2013 to September 2017 were selected as the research objects, they were divided into control group and observation group, 44 cases in each group. Patients in control group were treated with anterior decompression and fusion with internal fixation, patients in observation group were treated with posterior decompression and fusion with internal fixation. The operation related indicators, postoperative VAS and ODI scores, excellent and good rate of treatment and postoperative complications of the two groups were compared. Result The intraoperative bleeding of observation group was less than that of control group（P〈0.01）, the operation time, length of stay and the healing time of incision in observation group were significantly shorter than those in control group（P（all）〈 0.01）. After operation, the scores of VAS and ODI and the incidence of total complications in observation group were significantly lower than those in control group（P（all）〈 0.01）, and the excellent rate of operation was significantly higher than that of control group（P〈0.05）. Conclusion Posterior decompression and fusion with internal fixation in the treatment of high lumbar disc herniation can significantly shorten the operation time, reduce the amount of intraoperative bleeding and complications, and reduce the postoperative pain score and dysfunction score, which has a certain clinical value.

关 键 词：腰椎间盘突出症 后路减压植骨融合内固定术 安全性 

分 类 号：R687.3[医药卫生—骨科学]