腰椎管狭窄症后路减压椎间植骨融合术治疗后临近节段退变的影响因素分析  

Analysis of influencing factors of adjacent segment degeneration after PLIF treatment of lumbar spinal stenosis

作　　者：孔杨 章维新 KONG Yang;ZHANG Wei-xin(Chuzhou Hospital Affiliated to Anhui Medical University,Chuzhou first people′s Hospital, Chuzhou 239000, China)

机构地区：[1]安徽医科大学附属滁州医院,滁州市第一人民医院,安徽滁州239000

出　　处：《实用医院临床杂志》2022年第4期146-148,共3页Practical Journal of Clinical Medicine

摘　　要：目的观察腰椎管狭窄症患者(PLIF)治疗后临近节段退变的发生情况,并分析发生的影响因素。方法收集106例腰椎管狭窄症患者临床资料,分析腰椎管狭窄症PLIF治疗后临近节段退变的影响因素。结果106例腰椎管狭窄症患者PLIF治疗患者中,有25例(23.58%)术后临近节段退变。年龄较大、合并腰椎手术史、术前低骨密度、术前小骨盆入射角均是腰椎管狭窄症患者PLIF治疗后临近节段退变的影响因素(P<0.05)。结论年龄较大、合并腰椎手术史、术前低骨密度、术前小骨盆入射角均是腰椎管狭窄症患者PLIF治疗后临近节段退变的影响因素,可针对上述因素,制定围术期护理及治疗方案,以改善患者预后腰椎功能康复。Objective To observe the occurrence of adjacent segmental degeneration after posterior decompression interbody fusion(PLIF)in patients with lumbar spinal stenosis and analyze the influencing factors.Methods Clinical data of 106 patients with lumbar spinal stenosis were collected.The influencing factors of adjacent segment degeneration after PLIF treatment were analyzed.Results Among the 106 patients,there were 25(23.58%)with adjacent segment degeneration after operation.Older age,history of lumbar surgery,preoperative low bone mineral density,and preoperative small pelvic incidence angle were the influencing factors of adjacent segment degeneration in the patients after PLIF treatment(P<0.05).Conclusion Older age,lumbar surgery history,preoperative low bone mineral density,and preoperative small pelvic incidence angle are the influencing factors of adjacent segment degeneration in patients with lumbar spinal stenosis after PLIF treatment.According to the above factors,perioperative nursing and treatment plans should be formulated to improve the prognosis and the recovery of lumbar function.

关 键 词：腰椎管狭窄症 临近节段退变 后路减压椎间植骨融合术 骨质疏松 融合节段 

分 类 号：R681.54[医药卫生—骨科学]