中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
17期
53-54
,共2页
退行性腰椎间盘病变%后路椎间融合术%椎弓根螺钉固定术
退行性腰椎間盤病變%後路椎間融閤術%椎弓根螺釘固定術
퇴행성요추간반병변%후로추간융합술%추궁근라정고정술
Degenerative diseases of lumbar intervertebral disc%Posterior lumbar interbody fusion%Pedicle screw fixation
目的 探讨后路椎间融合加椎弓根螺钉固定术治疗退行性腰椎间盘病变的临床疗效.方法 对100例退行性腰椎间盘病变患者采取后路椎间融合加椎弓根螺钉固定术,术后予1～2年随访,并比较术前、术后及随访时脊柱形态、功能恢复情况(JOA评分).结果 术后与术前患者脊柱后凸、侧凸角度和JOA评分比较差异均有统计学意义(P均＜0.05),随访时与术前比较差异也有统计学意义(P＜0.05),随访时与术后比较差异无统计学意义(P＞0.05).结论 后路椎体间融合术治疗退行性腰椎间盘病变效果显著,有进一步研究和推广价值.
目的 探討後路椎間融閤加椎弓根螺釘固定術治療退行性腰椎間盤病變的臨床療效.方法 對100例退行性腰椎間盤病變患者採取後路椎間融閤加椎弓根螺釘固定術,術後予1～2年隨訪,併比較術前、術後及隨訪時脊柱形態、功能恢複情況(JOA評分).結果 術後與術前患者脊柱後凸、側凸角度和JOA評分比較差異均有統計學意義(P均＜0.05),隨訪時與術前比較差異也有統計學意義(P＜0.05),隨訪時與術後比較差異無統計學意義(P＞0.05).結論 後路椎體間融閤術治療退行性腰椎間盤病變效果顯著,有進一步研究和推廣價值.
목적 탐토후로추간융합가추궁근라정고정술치료퇴행성요추간반병변적림상료효.방법 대100례퇴행성요추간반병변환자채취후로추간융합가추궁근라정고정술,술후여1～2년수방,병비교술전、술후급수방시척주형태、공능회복정황(JOA평분).결과 술후여술전환자척주후철、측철각도화JOA평분비교차이균유통계학의의(P균＜0.05),수방시여술전비교차이야유통계학의의(P＜0.05),수방시여술후비교차이무통계학의의(P＞0.05).결론 후로추체간융합술치료퇴행성요추간반병변효과현저,유진일보연구화추엄개치.
Objective To investigate the clinical effect of treating the patients suffering from degenerative diseases of lumbar intervertebral disc with posterior lumbar interbody fusion (PLIF) combined with pedicle screw fixation.Methods This study was based on 100 cases suffering from degenerative diseases of lumbar intervertebral disc who underwent PLIF combined with pedicle screw fixation.All the patients were followed by 1 - 2 years.The shape and the function of spinal column were both estimated before and after the operation,and they were also estimated during the following of the patients after the operation.The datas in the formal 3 stages were multiply compared.Results Between the preoperative and postoperative datas,there were statistically significant differences in the JOA scores and the angle of scoliosis and kyphosis (P ＜ 0.05 ).And so do the preoperative datas and the datas during the following (P ＜0.05).But no similar result was detected between the postoperative data and the data during the following (P ＞ 0.05).Conclusions Posterior lumbar interbody fusion (PLIF) combined with pedicle screw fixation has a significant effect in treating degenerative diseases of lumbar intervertebral disc,deserving further study and clinical popularization.
