椎板减压融合内固定术治疗退行性腰椎管狭窄的效果  

Effect of Laminar Decompression Fusion Internal Fixation in the Treatment of Degenerative Lumbar Spinal Stenosis

作　　者：郭亮 GUO Liang(Xishui County Hospital of Traditional Chinese Medicine,Xishui 438200,China)

机构地区：[1]浠水县中医院,湖北浠水438200

出　　处：《中外医学研究》2024年第14期144-148,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究椎板减压融合内固定术治疗退行性腰椎管狭窄(DLSS)的效果。方法:选择2021年3月—2023年3月在浠水县中医院治疗的98例DLSS患者作为研究对象,使用随机数表法将其分为对照组(单纯椎板减压术)与观察组(椎板减压融合内固定术),各49例,对比两组腰椎功能[日本骨科协会评估治疗(JOA)]、疼痛程度[视觉模拟评分法(VAS)]、影像学指标[胸后凸角、腰椎前凸角、骨盆倾斜角、椎体滑移度、滑脱角、椎间盘高度]、炎症指标[肿瘤坏死因子-α(TNF-α)、白细胞介素-1α(IL-1α)、C反应蛋白(CRP)]、治疗效果。结果:术前,两组VAS评分、JOA评分比较,差异无统计学意义(P>0.05);术后6个月,两组VAS评分较术前降低、JOA评分较术前升高,且观察组VAS评分低于对照组、JOA评分高于对照组,差异有统计学意义(P<0.05)。术前,两组胸后凸角、腰椎前凸角、骨盆倾斜角、椎体滑移度、滑脱角、椎间盘高度比较,差异无统计学意义(P>0.05);术后6个月,两组椎体滑移度、滑脱角较术前降低,且观察组低于对照组,椎间盘高度、胸后凸角、腰椎前凸角、骨盆倾斜角较术前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。术前,两组炎症因子水平比较,差异无统计学意义(P>0.05);术后6个月,两组TNF-α、IL-1α、CRP较术前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组优良率高于对照组,差异有统计学意义(P<0.05)。结论:DLSS接受椎板减压融合内固定术治疗的效果显著,可改善腰椎功能,抑制炎症反应,降低疼痛程度。Objective:To investigate the effect of laminar decompression fusion internal fixation in the treatment of degenerative lumbar spinal stenosis(DLSS).Method:A total of 98 patients with DLSS who treated in Xishui County Hospital of Traditional Chinese Medicine from March 2021 to March 2023 were selected as the study objects,and they were divided into the control group(simple laminar decompression)and the observation group(laminar decompression fusion internal fixation)by using the random number table method,49 cases each in each group,and the lumbar spine function[Japanese Orthopaedic Association Assessment and Treatment(JOA)],the degree of pain[visual analog scale(VAS)],and the imaging indicators[thoracic posterior convexity angle,lumbar anterior convexity angle,pelvic tilt angle,cone slip degree,slip angle,disc height],inflammatory indicators[tumor necrosis factor-α(TNF-α),interleukin-1α(IL-1α),C-reactive protein(CRP)]and treatment effect of two groups were compared.Result:Before operation,there were no statistically significant differences in VAS score and JOA score between two groups(P>0.05);at 6 months after operation,the VAS scores were decreased and JOA cores were increased in two groups compared with those before operation,and the VAS score in the observation group was lower than that of the control group,and the JOA score was higher than that of the control group,the differences were statistically significant(P<0.05).Before operation,there were no statistically significant differences in the thoracic posterior convexity angle,lumbar anterior convexity angle,pelvic tilt angle,conus slip degree,slip angle,and intervertebral disc height between two groups(P>0.05);at 6 months after operation,the conus slip degree and slip angle in two groups were decreased compared with those before operation,and which in the observation group were lower than those the control group,and the intervertebral disc height,thoracic posterior convexity angle,lumbar anterior convexity angle and pelvic tilt angle were increased comp

关 键 词：椎板减压融合内固定术 退行性腰椎管狭窄 腰椎功能 

分 类 号：R687.3[医药卫生—骨科学]