CAJ | 학술논문

目的：观察单纯椎管减压治疗老年Ⅰ度退行性腰椎滑脱患者的手术疗效。方法回顾分析1998年1月至2012年1月62例采用单纯椎管减压术治疗Ⅰ度退行性腰椎滑脱的老年患者，其中男20例，女42例；年龄65～82岁，平均68岁；病程2～7年，平均3．3年。采用日本骨科协会评估治疗分数（JOA ）和视觉模拟评分法（VSA ）评估患者术后平均2年与8．2年时的临床疗效。结果术前JOA评分平均9．7分，术后平均2年和平均8．2年的JOA评分分别为11．7分和12．8分（P＜0．05）；术前VAS评分平均7．8分，术后分别为2．3分和2．6分（P＜0．05）。并发症16例，二次手术4例。结论老年Ⅰ度退行性腰椎滑脱患者在围术期积极控制其他器官系统疾病的基础上，单纯腰椎管减压是一种有效地外科治疗方法，可获得较满意的临床疗效。
목적：관찰단순추관감압치료노년Ⅰ도퇴행성요추활탈환자적수술료효。방법회고분석1998년1월지2012년1월62례채용단순추관감압술치료Ⅰ도퇴행성요추활탈적노년환자，기중남20례，녀42례；년령65～82세，평균68세；병정2～7년，평균3．3년。채용일본골과협회평고치료분수（JOA ）화시각모의평분법（VSA ）평고환자술후평균2년여8．2년시적림상료효。결과술전JOA평분평균9．7분，술후평균2년화평균8．2년적JOA평분분별위11．7분화12．8분（P＜0．05）；술전VAS평분평균7．8분，술후분별위2．3분화2．6분（P＜0．05）。병발증16례，이차수술4례。결론노년Ⅰ도퇴행성요추활탈환자재위술기적겁공제기타기관계통질병적기출상，단순요추관감압시일충유효지외과치료방법，가획득교만의적림상료효。
Objective To investigate the effect of simple vertebral canal decompression for treating degree 1 senile degenerative lumbar spondylolisthesis .Methods 62 cases of degree 1 senile degenerative lumbar spondylolisthesis from January 1998 to January 2012 were retrospectively analyzed .The patients were surgically treated by simple vertebral canal decompression and included 20 males and 42 females ,aged from 65-82 years(mean 68 years) ,with the disease history of 2-7 years(average 3 .3 years) .The clini-cal effects in average postoperative 2 years and 8 .2 years were evaluated by Japanese Orthopaedic Association Scores (JOA ) and Visual Analogue Scale/Score(VAS) .Results The preoperative JOA score was 9 .7 in average and the JOA scores in average post-operative 2 years and 8 .2 years were 11 .7 and 12 .8 respectively(P<0 .05);the preoperative VAS score averaged 7 .8 ,which after operation were 2 .3 and 2 .6 respectively(P<0 .05) .Complications were observed in 16 cases .4 cases accepted reoperation .Conclu-sion In the basis of the actively controlling other organ systems diseases in perioperative period ,simple vertebral canal decompression is an effective method for treating degenerative vertebral canal spondylolisthesis and can obtain the satisfactory therapeutic effect .