后路小开窗髓核摘除结合弹性棒内固定治疗腰椎间盘突出症的随机对照研究  

Randomized Controlled Study of Posterior Small Open Window Nucleus Pulposus Combined with Elastic Rod Internal Fixation for Lumbar Disc Herniation

作　　者：邱宇[1] 魏立[1] 魏祥科[1] 向前生[1] 郑海龙[1] QIU Yu;WEI Li;WEI Xiang-ke;XIANG Qian-sheng;ZHENG Hai-long(Yibin First People.s Hospital(Sichuan Yibin 644000))

机构地区：[1]宜宾市第一人民医院,四川宜宾644000

出　　处：《中国医疗器械信息》2018年第24期3-5,共3页China Medical Device Information

摘　　要：目的:探讨后路小开窗髓核摘除结合弹性棒内固定治疗腰椎间盘突出症的临床效果。方法:选择2015年1月～2016年9月在本院就诊的腰椎间盘突出症患者94例,采用随机数字表法将患者分为A组和B组,各47例。A组给予后路椎板开窗髓核摘除联合椎间融合治疗,B组给予后路小开窗髓核摘除结合弹性棒内固定治疗。观察2组术前、术后1月、6月、12月腰腿痛视觉模拟评分(VAS)、术前、术后1年手术节段活动度和上位节段活动度。结果:2组术后1月、术后6月、术后1年腰痛和腿痛VAS与术前相比较均显著降低(P<0.05);且B组术后6月、术后1年腰痛和腿痛VAS与A组相比较均显著降低(P<0.05)。结论:后路小开窗髓核摘除结合弹性棒内固定治疗腰椎间盘突出症有利于改善患者临床症状,保留患者手术节段活动度,具有良好的近期疗效。Objective:To explore the clinical effect of posterior fenestration combined with elastic bar fixation in the treatment of lumbar disc herniation.Methods:94 patients with lumbar disc herniation who visited our hospital from January 2015 to September 2016 were selected.Group A was treated with posterior fenestration combined with intervertebral fusion,while group B was treated with posterior fenestration combined with internal fixation with elastic bar.Visual analogue scale(VAS)for lumbar and leg pain in the two groups before and after surgery(1 month,6 months,and 12 months),operative segmental activity and upper segmental activity 1 year after surgery and 1 year after surgery were observed.Results:VAS of 1 month after operation,6 months after operation,1 year after operation and 1 year after operation were significantly reduced compared with that before operation(P<0.05).In addition,VAS of lumbago and leg pain were significantly decreased 6 months after surgery and 1 year after surgery in group B compared with group A(P<0.05).Conclusion:The posterior approach of small fenestration combined with internal fixation of elastic bar can improve the clinical symptoms of lumbar intervertebral disc herniation,maintain the activity of surgical segment,and have a good short-term effect.

关 键 词：腰椎间盘突出症 后路小开窗髓核摘除 K-Rod动态固态系统 

分 类 号：R687.3[医药卫生—骨科学]