老年退行性腰椎管狭窄症应用全椎板切除脊柱内固定治疗的疗效观察

doi:10.3969/j.issn.1006-6233.2017.09.007

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摘要 目的: 探讨全椎板切除脊柱内固定术在老年退行性腰椎管狭窄症中的的应用效果。方法: 收集2015年5月至2016年5月入院的100例老年退行性腰椎管狭窄症患者随机分为两组,对照组患者给予单纯选择性减压术,实验组患者则给予全椎板切除脊柱内固定术,比较两组患者疾病相关参数、总体治疗效果、并发症与生活质量。结果: 实验组患者术后3个月VAS评分与ODI评分组间比较均显著性低于对照组,JOA评分、行走距离、椎间隙高度、腰椎前凸角与椎管矢状径组间比较均显著性高于对照组;总体并发症发生率显著性低于对照组;末期随访生理功能、生理职能、躯体疼痛与总体健康评分组间比较均显著性高于对照组,存在显著性差异(P<0.01);优良率明显高于对照组,存在明显差异(P<0.05)。结论: 全椎板切除脊柱内固定术在老年退行性腰椎管狭窄症中的的应用效果显著,具有借鉴意义。

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关键词 ：全椎板切除脊柱内固定术, 退行性腰椎管狭窄症, 疼痛

Abstract：Objective: To explore the effect of total laminectomy and spinal fixation in senile degenerative lumbar spinal stenosis. Methods: 100 patients with senile degenerative lumbar spinal stenosis admitted from May 2015 to May 2016 were randomly divided into two groups. The patients in the control group were given selective selective decompression. The patients in the experimental group were treated with laminectomy Spinal fixation, compared the two groups of patients with disease-related parameters, the overall treatment effect, complications and quality of life. Results: Compared with the control group, the VAS score and the ODI score were significantly lower in the experimental group than in the control group. The JOA score, walking distance, intervertebral height, lumbar lordosis angle and lumbar sagittal diameter group were all lower in the experimental group than in the control group (P <0.05) . There is significant difference between the two groups ((P <0.01). The excellent and good rate was significantly higher than that of the control group (P <0.05). Conclusion: The application of total laminectomy in the treatment of senile degenerative lumbar spinal stenosis is significant and has reference significance.

Key words： Total laminectomy spinal fixation Degenerative lumbar spinal stenosis Pain

基金资助:1.陕西省卫生厅科研基金项目,(编号:2014JM4036)
2.西安交通大学医学院附属红会医院骨科, 陕西西安 710054

通讯作者: 苏庚洵

引用本文:

鲁驷原, 熊福军, 周劲松, 苏庚洵. 老年退行性腰椎管狭窄症应用全椎板切除脊柱内固定治疗的疗效观察[J]. 河北医学, 2017, 23(9): 1429-1432.
LU Siyuan, XIONG Fujun, et al. Observation on Curative Effect of Total Laminectomy and Internal Fixation for Treatment of Senile Degenerative Lumbar Spinal Stenosis Treated by. 河北医学, 2017, 23(9): 1429-1432.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2017.09.007 或 http://www.hbyxzzs.cn/CN/Y2017/V23/I9/1429

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