中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2014年
43期
3439-3442
,共4页
陈政%彭宝淦%李永超%朱嘉俊
陳政%彭寶淦%李永超%硃嘉俊
진정%팽보감%리영초%주가준
腰椎%脊柱疾病%Bioflex
腰椎%脊柱疾病%Bioflex
요추%척주질병%Bioflex
Lumbar vertebrae%Spinal disease%Bioflex
目的 评估Bioflex系统治疗腰椎退行性疾病的临床疗效.方法 2011年6月至2013年4月北京武警总医院应用Bioflex动态固定系统治疗腰椎退行性病变患者29例,其中男16例,女13例,平均年龄52.3(38 ～62)岁.其中腰椎管狭窄症患者15例,腰椎滑脱患者4例,腰椎盘突出症患者10例.单节段14例,双节段10例,三节段3例,四节段2例.通过疼痛视觉模拟量表(VAS)评分和Oswestry功能障碍指数(ODI)评估术后的临床疗效,同时通过术后中立位侧位X线片评估上位相邻节段的椎间盘高度(DH)和动力位X线片评估置入节段的和上位相邻节段的术前和术后的活动度(ROM).结果 术后随访8—32(22.6 ±2.1)个月.与术前相比,ODI评分[(40.0±2.6)分比(4.0±1.3)分,P＜0.05]、腰痛VAS评分[(7.3±0.8)分比(0.9±0.3)分,P＜0.05]及下肢痛VAS评分[(8.6±1.0)分比(0.58±0.65)分,P＜0.05]均有下降.末次随访时置入节段保留一定的ROM(P＜0.05).上位相邻节段DH和ROM无显著变化(P＞0.05).结论 Bioflex动态固定系统治疗腰椎退行性疾病的临床疗效满意,能够保留置入节段一定的活动度,同时能够避免上位相邻节段活动度增加,可以作为腰椎退行性疾病的非融合术治疗的选择.
目的 評估Bioflex繫統治療腰椎退行性疾病的臨床療效.方法 2011年6月至2013年4月北京武警總醫院應用Bioflex動態固定繫統治療腰椎退行性病變患者29例,其中男16例,女13例,平均年齡52.3(38 ～62)歲.其中腰椎管狹窄癥患者15例,腰椎滑脫患者4例,腰椎盤突齣癥患者10例.單節段14例,雙節段10例,三節段3例,四節段2例.通過疼痛視覺模擬量錶(VAS)評分和Oswestry功能障礙指數(ODI)評估術後的臨床療效,同時通過術後中立位側位X線片評估上位相鄰節段的椎間盤高度(DH)和動力位X線片評估置入節段的和上位相鄰節段的術前和術後的活動度(ROM).結果 術後隨訪8—32(22.6 ±2.1)箇月.與術前相比,ODI評分[(40.0±2.6)分比(4.0±1.3)分,P＜0.05]、腰痛VAS評分[(7.3±0.8)分比(0.9±0.3)分,P＜0.05]及下肢痛VAS評分[(8.6±1.0)分比(0.58±0.65)分,P＜0.05]均有下降.末次隨訪時置入節段保留一定的ROM(P＜0.05).上位相鄰節段DH和ROM無顯著變化(P＞0.05).結論 Bioflex動態固定繫統治療腰椎退行性疾病的臨床療效滿意,能夠保留置入節段一定的活動度,同時能夠避免上位相鄰節段活動度增加,可以作為腰椎退行性疾病的非融閤術治療的選擇.
목적 평고Bioflex계통치료요추퇴행성질병적림상료효.방법 2011년6월지2013년4월북경무경총의원응용Bioflex동태고정계통치료요추퇴행성병변환자29례,기중남16례,녀13례,평균년령52.3(38 ～62)세.기중요추관협착증환자15례,요추활탈환자4례,요추반돌출증환자10례.단절단14례,쌍절단10례,삼절단3례,사절단2례.통과동통시각모의량표(VAS)평분화Oswestry공능장애지수(ODI)평고술후적림상료효,동시통과술후중립위측위X선편평고상위상린절단적추간반고도(DH)화동력위X선편평고치입절단적화상위상린절단적술전화술후적활동도(ROM).결과 술후수방8—32(22.6 ±2.1)개월.여술전상비,ODI평분[(40.0±2.6)분비(4.0±1.3)분,P＜0.05]、요통VAS평분[(7.3±0.8)분비(0.9±0.3)분,P＜0.05]급하지통VAS평분[(8.6±1.0)분비(0.58±0.65)분,P＜0.05]균유하강.말차수방시치입절단보류일정적ROM(P＜0.05).상위상린절단DH화ROM무현저변화(P＞0.05).결론 Bioflex동태고정계통치료요추퇴행성질병적림상료효만의,능구보류치입절단일정적활동도,동시능구피면상위상린절단활동도증가,가이작위요추퇴행성질병적비융합술치료적선택.
Objective To evaluate the clinical outcomes of Biofelx dynamic stabilization system in the treatment of lumbar degenerative disease (LDD).Methods A total of 29 patients (16 males,13 females) received the treatment of Bioflex between June 2011 and April 2013 were recruited.There were with lumbar spinal stenosis (n =15),lumbar disc herniation (n =10) and lumbar spondylolisthesis (n =4).And they underwent one-segment (n =14),two-segment (n =10),three-segment (n =3) and four-segment (n=2) implantations.Mean age was 52.3 (38-62) years.Visual analogue scale (VAS) and Oswestry Disability Index (ODI) were used to evaluate the clinical outcomes.And lumbar radiography was used to observe disc height (DH) and range of motion (ROM) in fixed segment and cranial adjacent segment before and after operation.Results The mean follow-up period was 22.6 ± 2.1 (8-32) months.The mean ODI score decreased from 39.96 ± 2.58 preoperatively to 11.26 ± 1.76 at 3 months postoperatively (P ＜ 0.05) and 3.97 ± 1.30 at the last follow-up (P ＜ 0.05).The mean VAS score for low back pain dropped from 7.34 ±0.80 preoperatively to 2.63 ± 1.01 at 3 months postoperatively (P ＜0.05) and 0.91 ±0.32 at the last follow-up (P ＜0.05).The mean VAS score for leg pain deceased from 8.63 ± 0.95 preoperatively to 2.13 ±0.62 at 3 months postoperatively and 0.58 ±0.65 at the last follow-up (P ＜ 0.05).The implanted segment preserved some ROM at the last follow-up.Compared to preoperative,no statistically significance existed in postoperative DH and ROM (P ＞ 0.05).Conclusion The clinical outcomes of Bioflex system are excellent in the treatment of LDD.As an effective therapy for non-fusion of LDD,it may preserve some ROM of fixed segment and prevent increased range of motion in adjacent segment.
