半椎板减压椎间植骨融合内固定治疗腰椎管狭窄症的效果  

Effect of Half Laminectomy,Intervertebral Bone Graft Fusion and Internal Fixation in the Treatment of Lumbar Spinal Stenosis

作　　者：许志强 吴志强 赖展龙 XU Zhiqiang;WU Zhiqiang;LAI Zhanlong(不详;Quanzhou Bone Setting Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市正骨医院,福建泉州362000

出　　处：《中外医学研究》2023年第11期25-28,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨半椎板减压椎间植骨融合内固定治疗腰椎管狭窄症的效果。方法:选择泉州市正骨医院2020年3月—2021年3月收治的55例腰椎管狭窄症患者,按照随机数表法分为观察组(n=28)和对照组(n=27),对照组予以全椎板减压椎间植骨融合内固定治疗,观察组予以半椎板减压椎间植骨融合内固定治疗,观察两组手术情况、减压效果、腰椎恢复情况、植骨融合率及并发症发生率。结果:观察组手术时间、初次下床时间、住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);术后1个月、3个月、6个月,观察组硬膜囊横断面积(DSCA)、疼痛视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分低于对照组,差异有统计学意义(P<0.05);术后1个月、3个月、6个月,观察组植骨融合率(42.86%、64.29%、75.00%)高于对照组(14.81%、37.04%、48.15%),差异有统计学意义(P<0.05);观察组并发症总发生率(7.14%)低于对照组(33.33%),差异有统计学意义(P<0.05)。结论:半椎板减压椎间植骨融合内固定治疗腰椎管狭窄症有助于减少术中出血量,缩短手术时间,促进腰椎功能改善,提高植骨融合率,加快患者康复,降低并发症发生率。Objective:To investigate the effect of half laminectomy,intervertebral bone graft fusion and internal fixati in the treatment of lumbar spinal stenosis.Method:A total of 55 patients with lumbar spinal stenosis admitted to Quanzhou Bone setting Hospital from March 2020 to March 2021 were selected.According to the random number table method,they were divided into observation group(n=28)and control group(n=27).The control group was treated with total laminectomy,intervertebral bone graft fusion and internal fixation,while the observation group was treated with half laminectomy,intervertebral bone graft fusion and internal fixation.The surgical situation,decompression effect,lumbar recovery,bone graft fusion rate,and complication rate of the two groups were observed.Result:The operation time,initial time of getting out of bed,and hospitalization time in the observation group were shorter than those in the control group,and the amount of intraoperative bleeding in the observation group was less than that in the control group,the differences were statistically significant(P<0.05).At 1 month,3 months and 6 months after operation,dural sac cross-sectional area(DSCA),visual analogue scale(VAS)score,Oswestry disability index(ODI)score in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).At 1 month,3 months and 6 months after operation,the fusion rate of bone graft in the observation group(42.86%,64.29%,75.00%)were higher than those in the control group(14.81%,37.04%,48.15%),the differences were statistically significant(P<0.05).The total incidence of complications in the observation group(7.14%)was lower than that in the control group(33.33%),the difference was statistically significant(P<0.05).Conclusion:Half laminectomy,intervertebral bone graft fusion and internal fixati in the treatment of lumbar spinal stenosis can help reduce intraoperative blood loss,shorten operation time,improve lumbar spine function,improve bone graft fusion rate,

关 键 词：腰椎管狭窄症 半椎板减压 全椎板减压 内固定 腰椎功能 植骨融合 

分 类 号：R687.3[医药卫生—骨科学]