转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2015年
3期
40-41,43
,共3页
腰椎滑脱症%椎间植骨融合术%横突间植骨融合术
腰椎滑脫癥%椎間植骨融閤術%橫突間植骨融閤術
요추활탈증%추간식골융합술%횡돌간식골융합술
lumbar spondylolisthesis%centrum bone grafting fu-sion%transeverse process grafting fusion
目的：比较椎间植骨融合内固定与横突间植骨融合内固定治疗腰椎滑脱症的临床疗效．方法：将80例腰椎滑脱症患者随机分为椎间植骨融合内固定治疗组（A组）和横突间植骨融合内固定治疗组（B组），两组分别为32例和48例，比较两组患者手术时间、出血量及手术并发症、术后植骨融合率、植骨效果等指标．结果：两组在手术时间、术中出血量、并发症等方面比较，差异无统计学意义（P＞0．05）；术后随访，两组在融合率、复位率等方面比较，差异均无统计学意义（P＞0．05）．结论：横突间植骨是I度退变性滑脱的有效植骨融合方法，对I度以上退变性滑脱和真性滑脱椎间植骨融合术是首选疗法．
目的：比較椎間植骨融閤內固定與橫突間植骨融閤內固定治療腰椎滑脫癥的臨床療效．方法：將80例腰椎滑脫癥患者隨機分為椎間植骨融閤內固定治療組（A組）和橫突間植骨融閤內固定治療組（B組），兩組分彆為32例和48例，比較兩組患者手術時間、齣血量及手術併髮癥、術後植骨融閤率、植骨效果等指標．結果：兩組在手術時間、術中齣血量、併髮癥等方麵比較，差異無統計學意義（P＞0．05）；術後隨訪，兩組在融閤率、複位率等方麵比較，差異均無統計學意義（P＞0．05）．結論：橫突間植骨是I度退變性滑脫的有效植骨融閤方法，對I度以上退變性滑脫和真性滑脫椎間植骨融閤術是首選療法．
목적：비교추간식골융합내고정여횡돌간식골융합내고정치료요추활탈증적림상료효．방법：장80례요추활탈증환자수궤분위추간식골융합내고정치료조（A조）화횡돌간식골융합내고정치료조（B조），량조분별위32례화48례，비교량조환자수술시간、출혈량급수술병발증、술후식골융합솔、식골효과등지표．결과：량조재수술시간、술중출혈량、병발증등방면비교，차이무통계학의의（P＞0．05）；술후수방，량조재융합솔、복위솔등방면비교，차이균무통계학의의（P＞0．05）．결론：횡돌간식골시I도퇴변성활탈적유효식골융합방법，대I도이상퇴변성활탈화진성활탈추간식골융합술시수선요법．
AIM:To compare the efficacy of transeverse process grafting and centrum bone grafting fusion fixation for treatment of spondylolisthesis.METHODS:80 patients with lumbar spon-dylolisthesis were randomly divided into centrum bone grafting fu-sion fixation treatment group (group A)and transeverse process grafting fusion fixation treatment group (group B),32 and 48 pa-tients respectively,to compare the operation time,blood loss, surgical complications,postoperative bone grafting fusion rate and effect of the two groups.RESULTS:There was no statistically significant difference (P>0.05)in the operative time,intraoper-ative blood loss,complications of the two groups.Follow-up com-parison of fusion rate and reduction rate of the two groups after treatment was proceeded with no significant difference observed (P>0.05).CONCLUSION:The transeverse process grafting fusion fixation treatment is effective for degenerative spondylolis-thesis of Degree I,while the centrum bone grafting fusion fixation is the therapy of choice for the degenerative and real lumbar spon-dylolisthesis with more than Degree I.
