中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
9期
4-6
,共3页
腰椎退变性疾病%经后路椎体间融合术%内固定%融合
腰椎退變性疾病%經後路椎體間融閤術%內固定%融閤
요추퇴변성질병%경후로추체간융합술%내고정%융합
Degenerative lumbar disease%Posterior lumbar interbody fusion%Fixation%Fusion
目的 探讨腰椎退变患者行经后路椎体间融合术(PLIF)治疗的临床疗效.方法 对2003年8月至2009年2月入院治疗的96例腰椎退变疾病患者的临床资料行回顾性分析,所有患者均行PLIF术,分别对比患者术前、术后3个月及末次随访JOA评分、VAS评分以及影像学检查,评价患者的治疗效果.结果 术后随访12～35个月,平均18.5个月,术前JOA、VAS评分分别为(6.55±1.35)分、(7.80±1.62)分;术后3个月分别为(12.65±2.43)分、(2.64±1.42)分;末次随访分别为(13.33±1.80)分、(1.09±0.27)分.所有患者术后半年影像学检查均显示椎间融合良好,除1例患者术后发生车祸导致钉棒断裂外,其余患者内固定均无松动和折断.其中1例并发切口感染,抗生素对症治疗后治愈.2例并发脑脊液漏,加强营养,对症引流后治愈.结论 腰椎退行性疾病患者行PLIF治疗临床疗效确切.
目的 探討腰椎退變患者行經後路椎體間融閤術(PLIF)治療的臨床療效.方法 對2003年8月至2009年2月入院治療的96例腰椎退變疾病患者的臨床資料行迴顧性分析,所有患者均行PLIF術,分彆對比患者術前、術後3箇月及末次隨訪JOA評分、VAS評分以及影像學檢查,評價患者的治療效果.結果 術後隨訪12～35箇月,平均18.5箇月,術前JOA、VAS評分分彆為(6.55±1.35)分、(7.80±1.62)分;術後3箇月分彆為(12.65±2.43)分、(2.64±1.42)分;末次隨訪分彆為(13.33±1.80)分、(1.09±0.27)分.所有患者術後半年影像學檢查均顯示椎間融閤良好,除1例患者術後髮生車禍導緻釘棒斷裂外,其餘患者內固定均無鬆動和摺斷.其中1例併髮切口感染,抗生素對癥治療後治愈.2例併髮腦脊液漏,加彊營養,對癥引流後治愈.結論 腰椎退行性疾病患者行PLIF治療臨床療效確切.
목적 탐토요추퇴변환자행경후로추체간융합술(PLIF)치료적림상료효.방법 대2003년8월지2009년2월입원치료적96례요추퇴변질병환자적림상자료행회고성분석,소유환자균행PLIF술,분별대비환자술전、술후3개월급말차수방JOA평분、VAS평분이급영상학검사,평개환자적치료효과.결과 술후수방12～35개월,평균18.5개월,술전JOA、VAS평분분별위(6.55±1.35)분、(7.80±1.62)분;술후3개월분별위(12.65±2.43)분、(2.64±1.42)분;말차수방분별위(13.33±1.80)분、(1.09±0.27)분.소유환자술후반년영상학검사균현시추간융합량호,제1례환자술후발생차화도치정봉단렬외,기여환자내고정균무송동화절단.기중1례병발절구감염,항생소대증치료후치유.2례병발뇌척액루,가강영양,대증인류후치유.결론 요추퇴행성질병환자행PLIF치료림상료효학절.
Objective To investigate the clinical efficacy of posterior lumbar interbody fusion on degenerative lumbar disease.Methods The clinical data of 96 patients with degenerative lumbar disease who were treated in our hospital from August 2003 to February 2009 were analyzed retrospectively.All patients were treated by posterior lumbar interbody fusion(PLIF).The JOA score,VAS score and imaging evaluation of treatment were evaluated.Results All of the patients were followed-up for 12-35 months (average of 18.5 months),the preoperative JOA score was(6.55 ± 1.35),and JOA score was(12.65 ± 2.43) after 3 months,the JOA score at last follow-up was(13.33 ± 1.80) ; the preoperative VAS score was(7.80 ± 1.62),and VAS score was (2.64 ± 1.42) after 3 months,the VAS score at last follow-up was (1.09 ± 0.27).All patients had perfect interbody fusion by imaging examination after half a year,except for one patient with pedicle fracture caused by an accident,the remaining patients had no loosening or fracture.One case was complicated with incision infection,and cured by antibiotics.Two cases had cerebrospinal fluid leakage,and they were cured after improved nutrition and drainage.Conclusions PLIF is effiective and reliable in the treatment of degenerative lumbar disease.
