皮质骨轨迹螺钉内固定在老年腰椎退变性疾病的临床疗效  

Clinical Effect of Cortical Bone Trajectory Screw Internal Fixation in Elderly Patients with Degenerative Diseases of Lumbar Spine

作　　者：孙付杰[1] 陈山成[1] 邓亦奇 聂文波[1] 汪明星[1] SUN Fujie;CHEN Shancheng;DENG Yiqi;NIE Wenbo;WANG Mingxing(Department of Orthopedics,Shanxian Central Hospital(Huxi Hospital Affiliated to Jining Medical College),Heze,Shandong Province,274300 China)

机构地区：[1]单县中心医院(济宁医学院附属湖西医院)骨科,山东菏泽274300

出　　处：《中外医疗》2021年第35期63-66,共4页China & Foreign Medical Treatment

基　　金：济宁医学院教师科研扶持基金(JYFC2018FK J090)。

摘　　要：目的研究皮质骨轨迹螺钉内固定在老年腰椎退变性疾病的临床疗效。方法回顾性分析2018年2月—2020年2月在该院接受手术治疗的老年腰椎退变性疾病患者的临床资料。将所有患者按手术方法的不同分为研究组与对照组,各45例。对照组给予传统椎弓根螺钉置入内固定手术治疗,研究组给予皮质骨轨迹螺钉置入方法进行治疗。比较两组患者术中出血量、手术时间、术后恢复时间、手术前后Oswestry功能障碍指数量表(ODI)、手术治疗效果及术后并发症发生率。结果研究组的术中出血量(105.07±11.52)mL明显少于对照组患者的(149.46±16.89)mL,手术时间、术后恢复时间分别为(72.09±8.61)min、(5.86±1.05)d明显短于对照组,差异有统计学意义(t=14.565、7.664、5.874,P<0.05);术后研究组生活自理能力、疼痛、站立、坐位、步行、提物、睡眠情况、社会活动、旅游评分各为(0.31±0.09)分、(0.43±0.11)分、(1.47±0.35)分、(1.31±0.21)分、(1.03±0.23)分、(2.05±0.21)分、(0.34±0.02)分、(2.05±0.52)分、(1.91±0.52)分均明显低于对照组患者,差异有统计学意义(t=16.740、12.513、7.265、8.490、11.112、12.420、29.247、8.537、3.991,P<0.05)。研究组治疗总有效率(95.56%)明显高于对照组;并发症总发生率(2.22%)明显低于对照组,差异有统计学意义(χ^(2)=7.283、4.444,P<0.05)。结论皮质骨轨迹螺钉内固定在老年腰椎退变性疾病方面能够有效提高临床疗效,值得推广运用。Objective To study the clinical effect of cortical bone trajectory screw internal fixation in the elderly with degenerative diseases of the lumbar spine.Methods A retrospective analysis of the clinical data of elderly patients with degenerative lumbar disease who underwent surgical treatment in the hospital from February 2018 to February 2020.According to different surgical methods,all patients were divided into study group and control group,with 45 cases in each group.The control group was treated with traditional pedicle screw placement and internal fixation,and the study group was treated with cortical bone trajectory screw placement.The intraoperative blood volume,operation time,postoperative recovery time,oswestry dysfunction index(ODI)before and after the operation,surgical treatment effect and postoperative complication rate were compared between the two groups.Results The intraoperative blood loss of the study group(105.07±11.52)mL was significantly less than that of the control group(149.46±16.89)mL.The operation time and postoperative recovery time were(72.09±8.61)min and(5.86±1.05)d,respectively,significantly shorter than the control group,the difference was statistically significant(t=14.565,7.664,5.874,P<0.05).The postoperative self-care ability,pain,standing,sitting,walking,lifting,sleep,social activities,and travel scores of the postoperative study group were(0.31±0.09)points,(0.43±0.11)points,(1.47±0.35)points,(1.31±0.21)points,(1.03±0.23)points,(2.05±0.21)points,(0.34±0.02)points,(2.05±0.52)points,(1.91±0.52)points were significantly lower than those of the control group,the difference was statistically significant(t=16.740,12.513,7.265,8.490,11.112,12.420,29.247,8.537,3.991,P<0.05).The total effective rate of treatment in the study group(95.56%)was significantly higher than that of the control group,and the total incidence of complications(2.22%)was significantly lower than that of the control group,the difference was statistically significant(χ^(2)=7.283,4.444,P<0.05).Conclusion C

关 键 词：腰椎退变性疾病 骨质疏松 皮质骨轨迹 螺钉 内固定 临床疗效 并发症 

分 类 号：R816.8[医药卫生—放射医学]