单边椎弓根钉棒系统联合椎间植骨融合术治疗腰椎退变性疾病的疗效分析  

Therapeutic effect of unilateral pedicle screw rod system combined with intervertebral bone graft fusion on lumbar degenerative diseases

作　　者：徐怡良 Xu Yiliang(Department of Orthopedics,Changshu Hospital Affiliated to Soochow University,Changshu First People’s Hospital,Changshu 215500,China)

机构地区：[1]苏州大学附属常熟医院、常熟市第一人民医院骨科,常熟215500

出　　处：《中国实用医刊》2023年第23期1-4,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨单边椎弓根钉棒系统(UPS)联合椎间植骨融合术治疗腰椎退变性疾病的临床效果。方法抽取2020年1月至2023年1月苏州大学附属常熟医院收治的腰椎退变性疾病患者82例,按随机数字表法分为分为对照组和观察组,每组41例。对照组行双边椎弓根钉棒系统联合椎间植骨融合术治疗,观察组行UPS联合椎间植骨融合术治疗。比较两组手术情况、腰椎功能、术后疼痛程度[视觉模拟评分法(VAS)评分]、功能障碍情况[Oswestry功能障碍指数问卷表(ODI)评分]、日常生活能力[Barthel指数(BI)]及并发症发生情况。结果观察组手术时间、住院时间分别为(102.32±8.21)min、(10.12±1.25)d,短于对照组的(132.41±10.58)min、(12.74±1.32)d;术中出血量为(60.41±5.38)ml,少于对照组的(82.41±6.17)ml,差异有统计学意义(P<0.05)。观察组术后7 d、3个月时的VAS评分分别为(2.45±0.34)分、(1.05±0.22)分,低于对照组的(3.38±0.39)分、(1.74±0.25)分;观察组术后3个月的BI为(88.75±6.14)分,高于对照组的(82.23±6.08)分,差异有统计学意义(P<0.05);观察组并发症发生率(7.32%,3/41)低于对照组(24.39%,10/41),P<0.05。两组术后腰椎功能、ODI评分比较,差异未见统计学意义(P>0.05)。结论单边与双边椎弓根棒系统联合椎间植骨融合术均可加快腰椎退变性疾病患者腰椎功能恢复,减轻功能障碍,但单边手术创伤更小,术后疼痛更轻,且并发症更少。Objective To investigate the clinical effect of unilateral pedicle screw rod system(UPS)combined with intervertebral bone graft fusion in the treatment of lumbar degenerative diseases.Methods A total of 82 patients with lumbar degenerative diseases admitted to Changshu Hospital Affiliated to Soochow University from January 2020 to January 2023 were selected,and they were divided into control group and observation group by random number table method,with 41 cases in each group.The control group was treated by bilateral pedicle screw rod system combined with intervertebral bone graft fusion,while the observation group was treated by UPS combined with intervertebral bone graft fusion.The surgical conditions,lumbar function,postoperative visual analogue scale(VAS)score,functional impairment assessed by Oswestry disability index(ODI)score,daily living ability assessed by Barthel index(BI),and incidence of complications were compared between the two groups.Results The surgical time and hospitalization time of the observation group were(102.32±8.21)minutes and(10.12±1.25)days,respectively,which were shorter than the(132.41±10.58)minutes and(12.74±1.32)days of the control group(P<0.05).The intraoperative bleeding volume in the observation group was(60.41±5.38)ml,which was lower than the(82.41±6.17)ml in the control group(P<0.05).The 7-day and 3-month postoperative VAS scores of the observation group were 2.45±0.34 and 1.05±0.22,respectively,which were lower than the 3.38±0.39 and 1.74±0.25 of the control group(P<0.05).The 3-month postoperative BI score of the observation group was 88.75±6.14,which was higher than the 82.23±6.08 of the control group(P<0.05).The incidence of complications in the observation group(7.32%,3/41)was lower than that in the control group(24.39%,10/41),P<0.05.There was no statistically significant difference in postoperative lumbar spine function and ODI scores between the two groups(P>0.05).Conclusions Both unilateral and bilateral pedicle screw system combined with intervertebral bon

关 键 词：腰椎退变性疾病 单边椎弓根钉棒系统 椎间植骨融合术 腰椎功能 并发症 

分 类 号：R687.3[医药卫生—骨科学]