腰后路减压植骨融合内固定术治疗老年性多节段腰椎管狭窄症的临床观察  

Clinical Observation of Lumbar Posterior Decompression and Bone Implant Fusion Internal Fixation in the Treatment of Senile Multilevel Lumbar Spinal Stenosis

作　　者：张睿 吴思滨 张金虎 ZHANG Rui;WU Sibin;ZHANG Jinhu(Leping Hospital of Traditional Chinese Medicine,Jiangxi Province,Leping 333300,China;不详)

机构地区：[1]江西省乐平市中医医院,江西乐平333300

出　　处：《中国医学创新》2023年第1期35-38,共4页Medical Innovation of China

摘　　要：目的:观察腰后路减压植骨融合内固定术(PLIF)治疗老年性多节段腰椎管狭窄症(LSS)的临床效果。方法:选择2019年10月-2021年9月于乐平市中医医院治疗的88例老年性多节段LSS患者,按随机数字表法将其分为两组,各44例。对照组采用半椎板切除减压术治疗,观察组采用PLIF治疗。比较两组术中指标、腰椎功能、椎间孔高度及并发症。结果:观察组手术时间为(123.63±25.76)min,长于对照组的(95.52±21.04)min,差异有统计学意义(P<0.05),两组术中出血量比较,差异无统计学意义(P>0.05);术后6个月,两组Oswestry功能障碍指数(ODI)评分均低于术前,椎间孔高度均高于术前,且观察组ODI评分为(19.52±3.08)分,低于对照组的(21.35±3.64)分,椎间孔高度为(20.90±2.06)mm,高于对照组的(19.71±2.11)mm,差异均有统计学意义(P<0.05);观察组并发症发生率为4.55%,低于对照组的18.18%,差异有统计学意义(P<0.05)。结论:老年性多节段LSS患者采用PLIF治疗虽会延长手术时间,但更利于恢复椎间孔高度,改善腰椎功能,且并发症少,临床应用价值高。Objective:To observe the clinical effect of lumbar posterior decompression and bone implant fusion internal fixation(PLIF)in the treatment of senile multilevel lumbar spinal stenosis(LSS).Method:A total of 88 patients with senile multilevel LSS who were treated in Leping Hospital of Traditional Chinese Medicine from October 2019 to September 2021 were selected and divided into two group according to random number table method,44 cases in each group.The control group was treated with hemilaminectomy decompression,and the observation group was treated with PLIF.Intraoperative indicators,lumbar function,intervertebral foramen height and complications were compared between the two groups.Result:The operation time in the observation group was(123.63±25.76)min,which was longer than(95.52±21.04)min in the control group,the difference was statistically significant(P<0.05).There was no significant difference in intraoperative bleeding volume between the two groups(P>0.05).6 months after surgery,the Oswestry dysfunction index(ODI)scores were lower and the intervertebral foramen height were higher in both groups than those before surgery,and the ODI scores in the observation group was(19.52±3.08)scores,lower than(21.35±3.64)scores in the control group,and intervertebral foramen height was(20.90±2.06)mm,higher than(19.71±2.11)mm in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.55%,which was lower than 18.18%in the control group,the difference was statistically significant(P<0.05).Conclusion:PLIF therapy in patients with senile multilevel LSS may prolong the operation time,but it is more conducive to the recovery of the intervertebral foramen height,improvement of lumbar function,and it has less complications and high clinical application value.

关 键 词：腰椎管狭窄症 腰后路减压植骨融合内固定术 半椎板切除减压术 腰椎功能 

分 类 号：R687.3[医药卫生—骨科学]