伴与不伴马尾神经冗余征腰椎管狭窄症患者的手术疗效  

Surgical Effect of Lumbar Spinal Stenosis with and without Cauda Equina Redundancy

作　　者：王帅 WANG Shuai(Yingkou Economic and Technological Development Zone Central Hospital,the Sixth People's Hospital of Yingkou City,Yingkou 115007,China)

机构地区：[1]营口经济技术开发区中心医院(营口市第六人民医院),辽宁营口115007

出　　处：《中国医药指南》2021年第3期106-107,共2页Guide of China Medicine

摘　　要：目的分析伴与不伴马尾神经冗余征腰椎管狭窄症患者的手术疗效。方法选取2017年6月至2019年1月本院收治的78例腰椎管狭窄症患者作为研究对象,按照患者伴与不伴马尾神经冗余征进行分组,将其中40例伴有马尾神经冗余征的患者设为观察组,38例未伴有马尾神经冗余征的患者设为对照组,两组均采用手术方式进行治疗,比较两组患者术中及术后的各项临床指标及治疗效果。结果观察组患者手术时间长于对照组,术中出血量及术后引流量均少于对照组患者(P<0.05);观察组术后BI评分显著低于对照组患者,VAS、ODI评分高于对照组(P<0.05);观察组术后并发症总发生率高于对照组(P<0.05)。结论伴与不伴马尾神经冗余征腰椎管狭窄症均可通过手术进行治疗,但伴马尾神经冗余征腰椎管狭窄症患者术后的各项恢复质量较差,存在较多的并发症,临床需全面结合患者的实际情况制订对症支持治疗措施,以提升治疗效果。Objective To analyze the surgical effect of lumbar spinal stenosis with and without cauda equina redundancy.Methods During June 2017 to January 2019 in our hospital treated 78 cases of lumbar spinal stenosis disease patients,as research data,according to the patients with and without redundant grouping of horsetail nerve associated with cauda equina nerve redundancy of these patients were set as observation group,without concomitant horsetail nerve redundancy patients as control group,40 patients with the control group,the observation group of 38 cases of patients,both groups with the method of surgical treatment,will be two groups of patients with intraoperative and postoperative comparing the indicators,to determine the effect of surgical treatment.Results The operation time of the observation group was longer than that of the control group,the intraoperative blood loss and postoperative drainage were less than those of the control group(P<0.05).The postoperative BI score of the observation group was significantly lower than that of the control group.VAS The ODI score was higher than that of the control group(P<0.05);the total incidence of postoperative complications in the observation group was higher than that of the control group(P<0.05).Conclusion With and without horsetail nerve redundancy,lumbar spinal stenosis disease may be treated by surgery,but with horsetail nerve redundancy in patients with lumbar spinal stenosis disease recovery of the poor quality,problems more complications,need combined with the actual problem of formulating appropriate comprehensive symptomatic treatment measures to improve therapeutic effect.

关 键 词：腰椎管狭窄症 马尾神经冗余征 手术治疗 并发症 

分 类 号：R681.57[医药卫生—骨科学]