CAJ | 학술논문

背景：糖尿病常因合并腰椎管狭窄症而需手术治疗，若同时合并糖尿病性周围血管或神经病变，其手术效果往往会受到很大影响。但目前很少有学者对合并糖尿病的腰椎管狭窄症患者的临床疗效进行随访研究。 　　目的：探讨合并糖尿病的腰椎管狭窄症患者的手术治疗效果。 　　方法：回顾性分析2008年3月至2012年12月手术治疗的腰椎管狭窄症患者94例，分为合并糖尿病组（A组）及单纯腰椎管狭窄症组（B组）各47例。通过比较两组患者体重指数、住院时间、融合节段、手术时间、术中出血量、术后引流量、围手术期并发症发生率、术前及术后1年随访的VAS评分及JOA评分、术后1年融合率等临床指标评价糖尿病对腰椎管狭窄症患者手术疗效的影响。 　　结果：两组患者的性别、年龄、手术时间、术中出血量、围手术期并发症发生率、术前及术后1年随访的VAS评分及JOA评分、术后1年融合率均无统计学差异（P＞0.05），两组患者的体重指数、住院时间、术后引流量有统计学差异（P＜0.05）。 　　结论：合并糖尿病的腰椎管狭窄症患者的住院时间明显延长，术后引流量增加，但手术疗效尚可。
배경：당뇨병상인합병요추관협착증이수수술치료，약동시합병당뇨병성주위혈관혹신경병변，기수술효과왕왕회수도흔대영향。단목전흔소유학자대합병당뇨병적요추관협착증환자적림상료효진행수방연구。 　　목적：탐토합병당뇨병적요추관협착증환자적수술치료효과。 　　방법：회고성분석2008년3월지2012년12월수술치료적요추관협착증환자94례，분위합병당뇨병조（A조）급단순요추관협착증조（B조）각47례。통과비교량조환자체중지수、주원시간、융합절단、수술시간、술중출혈량、술후인류량、위수술기병발증발생솔、술전급술후1년수방적VAS평분급JOA평분、술후1년융합솔등림상지표평개당뇨병대요추관협착증환자수술료효적영향。 　　결과：량조환자적성별、년령、수술시간、술중출혈량、위수술기병발증발생솔、술전급술후1년수방적VAS평분급JOA평분、술후1년융합솔균무통계학차이（P＞0.05），량조환자적체중지수、주원시간、술후인류량유통계학차이（P＜0.05）。 　　결론：합병당뇨병적요추관협착증환자적주원시간명현연장，술후인류량증가，단수술료효상가。
Background:There are few studies on surgical outcome in the patients with lumbar spinal stenosis combined with diabetic peripheral vascular or nervous diseases. Objective:To explore the surgical outcome in the patients with lumbar spinal stenosis accompanied by diabetes mellitus. Methods:Ninety four patients received lumber spinal canal decompression in our hospital from March 2008 to December 2012 and were divided into two groups:diabetic group (n=47) and non-diabetic group (n=47). Body mass index (BMI), hos-pital stay, fused segments, operative time, intraoperative blood loss, postoperative drainage, complications, JOA and VAS scores, and fusion rate were compared between two groups. Results:There were no significant differences in terms of gender, age, operative time, intraoperative blood loss, complica-tions, JOA and VAS scores or fusion rate between two groups(P>0.05). However, BMI, hospital stay and postoperative drainage indicated significant difference between two groups(P<0.05). Conclusions:Hospital stay and postoperative drainage will increase in the patients with lumbar spinal stenosis accompanied by diabetes mellitus, but patients are satisfied with surgical outcome.