CAJ | 학술논문

目的：研究观察有限椎板减压内固定治疗退行性腰椎管狭窄症的疗效。方法：选取就诊的40例退行性腰椎管狭窄症患者。根据复杂程度，将患者分为A组（19例）和B组（21例）。A组患者使用有限椎板切除椎管减压术；B组患者采用有限椎板切除减压并脊柱融合内固定术。手术后，用日本骨科学会（ JOA）15分法进行评分和改善率的计算。结果：根据JOA评分，最后一次随访时A组和B组的改善率分别为（60.3％±30.1％）和（63.5％±25.8％），优良率分别为81％和83％，结果比较，差异无统计学意义（ P＞0.05）。结论：根据不同的病情使用相应的有限椎板减压内固定治疗术是一种可靠有效的治疗方法，值得在临床上进行推广使用。
목적：연구관찰유한추판감압내고정치료퇴행성요추관협착증적료효。방법：선취취진적40례퇴행성요추관협착증환자。근거복잡정도，장환자분위A조（19례）화B조（21례）。A조환자사용유한추판절제추관감압술；B조환자채용유한추판절제감압병척주융합내고정술。수술후，용일본골과학회（ JOA）15분법진행평분화개선솔적계산。결과：근거JOA평분，최후일차수방시A조화B조적개선솔분별위（60.3％±30.1％）화（63.5％±25.8％），우량솔분별위81％화83％，결과비교，차이무통계학의의（ P＞0.05）。결론：근거불동적병정사용상응적유한추판감압내고정치료술시일충가고유효적치료방법，치득재림상상진행추엄사용。
Objective To study the efficacy of limited laminectomy decompression and internal fixation in treatment of degenerative lum-bar spinal stenosis. Method 40 cases with degenerative lumbar spinal stenosis were divided into group A(19 cases)and group B(21 cases) . the patients in the group A were treated with limited laminectomy decompression,the patients in the group B were treated with limited lami-nectomy decompression and internal fixation. After the surgery,the Japanese Orthopaedic Association( JOA)was used to calculate the scores and improvement rate. Results The improvements of group A and group B were(60. 3% ± 30. 1%)and(63. 5% ± 25. 8%),the good rates were 81% and 83%,respectively,the difference wasn't statistically significant( P>0. 05). Conclusion According to the different condition, Limited laminectomy decompression is an effective treatment for degenerative lumbar spinal. It is worthy of promotion in clinical.