CAJ | 학술논문

目的：探究手术治疗腰椎退变性侧凸（ DLS）的临床疗效。方法：随机选取在我院进行治疗的患有腰椎退变性侧凸的患者56例，对这些患者进行手术治疗，术式选择后路正中切口并进行椎管的减压，长节段进行固定加去旋转和凸侧的加压、椎体间融合术以及后外侧自体骨植骨融合术等。进过治疗后，观察比较2组患者的治疗效果。结果：手术后患者的临床症状以及影像学表现均有明显的好转，手术前后差异明显，且差异有统计学意义（P＜0．05）。结论：对于DLS的治疗要严格掌握手术指征，确定个性化的治疗方案，进行彻底的减压，以便重建腰椎矢状面以及冠状面的平衡，最终达到稳定脊柱的目的、治疗疾病的目的。
목적：탐구수술치료요추퇴변성측철（ DLS）적림상료효。방법：수궤선취재아원진행치료적환유요추퇴변성측철적환자56례，대저사환자진행수술치료，술식선택후로정중절구병진행추관적감압，장절단진행고정가거선전화철측적가압、추체간융합술이급후외측자체골식골융합술등。진과치료후，관찰비교2조환자적치료효과。결과：수술후환자적림상증상이급영상학표현균유명현적호전，수술전후차이명현，차차이유통계학의의（P＜0．05）。결론：대우DLS적치료요엄격장악수술지정，학정개성화적치료방안，진행철저적감압，이편중건요추시상면이급관상면적평형，최종체도은정척주적목적、치료질병적목적。
Objective:To explore the clinical curative effect of operation in treatment of degenerative lumbar scoliosis ( DLS) .Meth-ods:56 patients with degenerative lumbar scoliosis were carried out in our hospital , operation treatment for these patients , the choice oper-ation was posterior midline incision and decompression of the spinal canal , long segment fixation and rotation and the convex side pres-sure, interbody fusion and posterolateral bone grafting fusion .After the treatment , the treatment effects were compared between the two groups of patients .Results:The clinical symptoms and imaging of patients after operation showed obvious improvement , and obvious differ-ence before and after operation , and the difference was statistically significant ( P<0 .05 ) .Conclusion:Operate indications in the treat-ment of DLS, determine the individualization of treatment regimens , and thorough decompression , in order to rebuild lumbar sagittal and coronal balance , finally achieve the purpose of stabilization spinal and treatment of disease .