后路减压融合钉棒系统内固定治疗腰椎管狭窄症的疗效及对患者腰椎功能的影响研究  

Study on the efficacy of posterior decompression and fusion with internal fixation by nail-stick system on lumbar spinal stenosis and its influence on lumbar function of patients

作　　者：黄开营 HUANG Kai-ying(Department of Spine,Luxi Orthopaedic Hospital,Liaocheng 252000,China)

机构地区：[1]聊城鲁西骨科医院脊柱科,252000

出　　处：《中国实用医药》2024年第15期57-60,共4页China Practical Medicine

摘　　要：目的分析腰椎管狭窄症患者使用后路减压融合钉棒系统内固定进行治疗的效果。方法76例腰椎管狭窄症患者作为研究对象,以随机抽样法分为常规组与研究组,各38例。常规组患者使用常规后路椎管减压治疗,研究组使用后路减压融合钉棒系统内固定治疗。比较两组患者的治疗效果,腰椎功能、功能障碍程度评分,椎间活动度、椎间高度指数,疼痛程度评分。结果研究组治疗总有效率94.74%高于常规组的78.95%,组间具有明显差异(P<0.05)。治疗后3、6、9、12个月,研究组腰椎功能评分分别为(5.44±1.28)、(6.54±1.32)、(7.68±1.36)、(8.45±1.69)分,功能障碍程度评分分别为(24.35±6.64)、(20.72±9.43)、(16.73±7.47)、(13.75±5.36)分;常规组腰椎功能评分分别为(3.33±1.07)、(4.43±1.21)、(5.57±1.24)、(6.34±1.53),功能障碍程度评分分别为(30.46±7.75)、(28.83±10.54)、(26.84±10.58)、(20.86±10.47)分。和常规组相比,研究组治疗后3、6、9、12个月的腰椎功能评分更高,功能障碍程度评分更低,组间具有明显差异(P<0.05)。和常规组相比,研究组治疗后3、6、9、12个月的椎间活动度更小、椎间高度指数更高,组间具有明显差异(P<0.05)。和常规组相比,研究组治疗后3、6、9、12个月的疼痛程度评分低于常规组,组间具有明显差异(P<0.05)。结论为腰椎管狭窄症患者使用后路减压融合钉棒系统内固定进行治疗,可以提高患者腰椎功能,治疗效果显著,临床应用价值较高。Objective To analyze the effect of posterior decompression and fusion with internal fixation by nail-stick system on lumbar spinal stenosis.Methods 76 patients with lumbar spinal stenosis were studied and divided into a conventional group and a study group by random sampling method,each with 38 cases.The conventional group was treated with posterior spinal canal decompression alone,while the study group was treated with posterior decompression and fusion with internal fixation by nail-stick system.The treatment outcomes,lumbar function,functional impairment score,intervertebral motion,intervertebral height index and pain intensity score were compared between the two groups.Results The total effective rate of 94.74%in the study group was higher than 78.95%in the conventional group,with a significant difference between the groups(P<0.05).At 3,6,9 and 12 months after treatment,the lumbar function scores of the study group were(5.44±1.28),(6.54±1.32),(7.68±1.36)and(8.45±1.69)points,the functional impairment scores were(24.35±6.64),(20.72±9.43),(16.73±7.47)and(13.75±5.36)points;the lumbar function scores of the conventional group were(3.33±1.07),(4.43±1.21),(5.57±1.24)and(6.34±1.53)points,and the functional impairment scores were(30.46±7.75),(28.83±10.54),(26.84±10.58)and(20.86±10.47)points.Compared with the conventional group,the lumbar function scores of the study group at 3,6,9 and 12 months after treatment were higher,and the functional impairment scores were lower,with significant differences between the groups(P<0.05).Compared with the conventional group,the study group had lower intervertebral motion and higher intervertebral height index at 3,6,9 and 12 months after treatment,with significant differences between the groups(P<0.05).Compared with the conventional group,the pain intensity scores of the study group at 3,6,9 and 12 months after treatment were lower than those of the conventional group,with significant difference between the groups(P<0.05).Conclusion Posterior decompression and fusio

关 键 词：后路减压 钉棒系统内固定 腰椎管狭窄症 疗效 腰椎功能 

分 类 号：R687.3[医药卫生—骨科学]