融合技术与Coflex植入术治疗老年退行性腰椎管狭窄症的临床疗效  

Clinical Efficacy of Fusion Technology and Coflex Implantation in the Treatment of Senile Degenerative Lumbar Spinal Stenosis

作　　者：葛新江 朱宏斌 游建军[1] 姜飞[1] 杨晨[1] 陆江[1] GE Xinjiang(The First People's Hospital of Aksu,Xinjiang Aksu 843000,China)

机构地区：[1]新疆维吾尔自治区阿克苏地区第一人民医院骨科,新疆阿克苏843000 [2]陕西省西安市高新医院骨科,陕西西安710000

出　　处：《河北医学》2020年第10期1659-1663,共5页Hebei Medicine

基　　金：新疆自治区科技厅基金项目,(编号:2018D01A47)。

摘　　要：目的:研究老年退行性腰椎管狭窄症治疗中Coflex植入术与全椎板减压植骨融合内固定术的应用效果。方法:采用回顾性分析方法,研究对象为2018年1月至2019年6月入院的62例老年退行性腰椎管狭窄症患者,根据不同手术方式划分为两个小组,即对照组与研究组各31例,前组选用全椎板减压植骨融合内固定术治疗,后组选用Coflex植入术治疗;比较两组手术前后日本骨科协会评估治疗分数(Japanese Orthopaedic Associa-tion,JOA)、视觉模拟评分(Visual Analogue Scale,VAS)与术中出血量、手术时间、伤口引流量、住院时间及并发症发生率。结果:研究组术后JOA评分、VAS评分、术中出血量、手术时间、伤口引流量、住院时间及并发症发生率依次为(22.48±2.74)分、(2.52±0.31)分、(106.43±17.62)mL、(64.89±8.48)min、(80.52±16.07)mL、(5.48±0.91)d、3.23%,对照组依次为(20.72±2.41)分、(3.06±0.64)分、(178.25±24.81)mL、(114.72±15.63)min、(136.41±25.26)mL、(8.75±1.52)d、9.68%。研究组较对照组术后JOA评分更高,VAS评分更低,手术时间、住院时间更短,术中出血量、伤口引流量更少(P<0.05);研究组较对照组术后并发症发生率略低,但差异无统计学意义(P>0.05)。结论:Coflex植入术治疗老年退行性腰椎管狭窄症患者的效果优于全椎板减压植骨融合内固定术,安全性、有效性均较高。Objective:To study the effect of Coflex implantation and total lamina decompression bone grafting fusion and internal fixation in the treatment of senile degenerative lumbar spinal stenosis.Methods:A retrospective analysis was conducted among 62 cases of hospitalized elderly patients with degenerative lumbar spinal stenosis disease from January 2018 to June 2019.Patients were divided into two groups according to the different operation methods,namely the control group and the research group,31 cases in each.The former were treated with total lamina decompression bone grafting fusion and internal fixation,and the latter were treated with Coflex implantation.Pre-and post-operative data of both groups were compared,including the evaluation values with Japanese Orthopaedic Association(JOA),Visual Analogue Scale(VAS)and intraoperative blood loss,operative time,wound drainage volume,length of hospital stay and incidence rate of complication.Results:JOA score,VAS score,intraoperative blood loss,operation time,wound drainage volume,length of hospital stay and complication rate of the research group were(22.48±2.74),(2.52±0.31),(106.43±17.62)mL,(64.89±8.48)min,(80.52±16.07)mL,(5.48±0.91)d,and(3.23%)respectively.Those of the control group were(20.72±2.41)points,(3.06±0.64)points,(178.25±24.81)mL,(114.72±15.63)min,(136.41±25.26)mL,(8.75±1.52)d,and 9.68%.Compared with the control group,the research group had higher postoperative JOA score,lower VAS score,shorter operative time and hospitalization time,and less intraoperative blood loss and wound drainage(P<0.05).The incidence rate of postoperative complications of the study group was slightly lower than that of the control group,but the difference was not statistically significant(P>0.05).Conclusion:The effect of Coflex implantation in the treatment of senile patients with degenerative lumbar spinal stenosis is better than that of total lamina decompression bone grafting fusion and internal fixation,with high safety and effectiveness.

关 键 词：退行性腰椎管狭窄症 老年 Coflex植入术 全椎板减压植骨融合内固定术 

分 类 号：R687.3[医药卫生—骨科学]