摘要
目的:比较改良后路腰椎椎体间融合术(PLIF)与传统PLIF术治疗腰椎管狭窄症的临床效果。方法:治疗腰椎管狭窄症患者100例,50例采用传统PLIF术(A组),50例采用改良PLIF术(B组),比较两组手术时间和术中出血量,采用日本骨科协会评分(JOA)、视觉模拟疼痛评分(VAS)及影像学检查评价术后治疗效果。结果:B组手术时间短于A组(P<0.05),术中出血量低于A组(P<0.05)。JOA评分:组内比较,两组术后3月及6月评分较术前均有显著改善(P<0.05);组间比较,两组术前及术后各时间点评分无显著性差异(P>0.05)。VAS评分:组内比较,两组术后3月及6月评分较术前均有显著改善(P<0.05);组间比较,术前两组评分无显著性差异(P>0.05),术后3月及6月B组评分优于A组(P<0.05)。影像学检查示椎间融合良好。结论:改良PLIF术治疗腰椎管狭窄症效果明显,相比传统PLIF术,手术时间更短,术中出血量更少,术后疼痛减轻明显。
Objective： To evaluate the clinical outcomes of treating lumbar spinal stenosis with improved PLIF and traditional PLIF surgery. Methods： Each 50 cases with lumbar spinal stenosis which monitored treated surgically with improved PLIF（regard as group B） and traditional PLIF surgery（regard as group A） were reviewed retrospectively. The operative time and intraoperative blood loss were compared between two groups. The results were evaluated with Japanese Orthopedic Association （JOA） score and visual analogue scale（VAS）,and radiographic findings were also reviewed. Results ： Compared to group A, the operative duration was shorter and the intraoperative blood loss was less（P〈0.05）. JOA scores and VAS scores before surgery were significantly different from that of 3 months and 6 months after surgery in both two groups（P〈0.05）. There was no significant difference in JOA between two groups at 3 and 6 months after operation（P〉0.05）. The VAS scores in group B at 3 and 6 months after operation showed significant difference compared to group A（P〈0.05）. Interbody fusion was good in X-ray. Conclusion：Improved PLIF has good clinical outcome for lumbar spinal stenosis, and it has the advantages of less blood loss, shorter operation time and less pain after operation compared with traditional PLIF.
出处
《中国中医骨伤科杂志》
CAS
2015年第8期33-36,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
腰椎管狭窄症
内固定
融合
lumbar spinal stenosis
fixation
fusion
作者简介
通信作者E-mail：51499082@qq．com
