CAJ | 학술논문

目的比较单纯腰椎间盘髓核摘除术(LD)与腰椎间盘髓核摘除加棘突间非融合弹性内固定术( LD with Coflex system)治疗中青年腰椎间盘突出症(LDH)患者的疗效.方法收集郑州大学第一附属医院骨科2009年1月至2011年12月接受LD(A组)患者53例,随访时间(21.9±12.6)个月；接受LD with Coflex system(B组)患者21例,随访时间(13.0±9.7)个月.随访期间观察所有随访患者术前及术后的目本矫形外科协会评分(JOA)评分,比较两组受访者疗效.结果术前术后3个月JOA评分A组为(13.3±1.2,19.0±1.1),B组为(13.0±1.2,19.4±1.3),两组比较差异无统计学意义(P＞0.05)；术后12个月和24个月JOA评分A组为(21.9±1.2、24.2±0.9),B组为(25.1±0.8、27.0±1.0),两组比较差异有统计学意义(P＜0.05).结论 LD with Coflex system 在治疗中青年LDH患者远期疗效优于LD,此术式对中青年患者更有利.
목적 비교단순요추간반수핵적제술(LD)여요추간반수핵적제가극돌간비융합탄성내고정술( LD with Coflex system)치료중청년요추간반돌출증(LDH)환자적료효.방법 수집정주대학제일부속의원골과2009년1월지2011년12월접수LD(A조)환자53례,수방시간(21.9±12.6)개월；접수LD with Coflex system(B조)환자21례,수방시간(13.0±9.7)개월.수방기간관찰소유수방환자술전급술후적목본교형외과협회평분(JOA)평분,비교량조수방자료효.결과 술전술후3개월JOA평분A조위(13.3±1.2,19.0±1.1),B조위(13.0±1.2,19.4±1.3),량조비교차이무통계학의의(P＞0.05)；술후12개월화24개월JOA평분A조위(21.9±1.2、24.2±0.9),B조위(25.1±0.8、27.0±1.0),량조비교차이유통계학의의(P＜0.05).결론 LD with Coflex system 재치료중청년LDH환자원기료효우우LD,차술식대중청년환자경유리.
Objective To compare the clinical effects between lumber discectomy (LD) and LD with implanting interspinous nonfusion dynamic internal fixation (Coflex system) in the treatment of lumbar disc herniation (LDH).Methods From Junuary 2009 to December 2011,a total of 74 patients with lumber disc herniation were treated.The group A were treated by LD,it includes 53 patients,the time of follow-up is (21.9 ± 12.6) months.The group B were treated by LD with Coflex system,it includes 21 patients,the time of follow-up is (13.0 ± 9.7 ) months.Clinical effects were compared by Japanese Orthopaedic Association (JOA) before and after operation.Results JOA indexes of before and 3 months after surgery of group A ( 13.3 ± 1.2,19.0 ± 1.1 ) and group B ( 13.0 ± 1.2,19.4 ± 1.3 ) had no statistical value (P＞0.05).JOA indexes of 12 months and 24 months after surgery of group A (21.9 ± 1.2,24.2 ± 0.9) and group B (25.1 ± 0.8,27.0 ± 1.0) had statistical value ( P ＜ 0.05 ).Conclusion LD with Coflex system is better than LD in JOA and later clinical effects.The former is better for patients.