选择性短节段减压融合治疗高龄多节段退行性腰椎管狭窄症的临床疗效  

The Clinical Efficacy of Selective Short Segmental Decompression and Fusion Therapy in the Treatment of Multistage Degenerative Lumbar Spinal Stenosis

作　　者：翁阳华[1] 黎佩珍[1] 伊莉[1] 张洪亮[1] 李忠辉[1] WENG Yang - hua;LI Pei - zhen;YI Li(Dongguan humen hospital,Dongguan,Guangdong52390)

机构地区：[1]东莞市虎门医院,广东东莞523900

出　　处：《中国伤残医学》2018年第13期5-6,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨分析选择性短节段减压融合治疗高龄多节段退行性腰椎管狭窄症的临床疗效.方法：选取我院收治的44例高龄多节段腰椎管狭窄症患者,将所有患者随机分为观察组与对照组,2组均为22例.观察组接受选择性短节段减压融合术,对照组接受多节段减压融合术.比较2组患者的手术时间、术中出血量及治疗前后VAS、JOA、ODI评分.结果：观察组手术时间及术中出血量均明显少于对照组（P〈0.05）;观察组与对照组治疗后VAS、JOA、ODI评分均优于治疗前（P〈0.05）,2组治疗前后VAS、JOA、ODI评分的差异比较无统计学意义（P〉0.05）.结论：选择性短节段减压融合治疗高龄多节段退行性腰椎管狭窄,创伤更小,疗效肯定,稳定性好,值得推广.Objective： To explore the clinical effect of selective short segmental decompression and fusion in the treatment of multistage degenerative lumbar spinal stenosis. Methods： All patients were randomly divided into experimental group and control group, with 22 ca- ses in both groups. The experimental group received selective short segmental decompression and fusion, and the control group received multi -segmental decompression and fusion. The duration of operation, intraoperative blood loss and treatment of VAS, JOA and ODI were compared between the two groups. Results： The duration of operation and intraoperative blood loss in the experimental group were significantly lower than that in the control group （ P 〈 0.05 ）. The scores of VAS, JOA and ODI were better than those before treatment （ P 〈 0.05 ）, and the differences between VAS, JOA and ODI scores before and after treatment were not statistically significant （ P 〉 0.05 ）. Conclusion： Selective short segmental decompression and fusion therapy is more effective and effective in the treatment of the lower lum- bar vertebral canal stenosis.

关 键 词：选择性短节段减压融合术 多节段退行性腰椎管狭窄症 高龄患者 

分 类 号：R681.5[医药卫生—骨科学]