中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
13期
2051-2056
,共6页
植入物%脊柱植入物%脊柱内固定物%Isobar系统%腰椎间盘突出症%目测类比评分%Oswestry功能障碍指数%腰椎活动度
植入物%脊柱植入物%脊柱內固定物%Isobar繫統%腰椎間盤突齣癥%目測類比評分%Oswestry功能障礙指數%腰椎活動度
식입물%척주식입물%척주내고정물%Isobar계통%요추간반돌출증%목측류비평분%Oswestry공능장애지수%요추활동도
Intervertebral Disk Displacement%Spinal Fusion%Lumbar Vertebrae%Comparative Effectiveness Research
背景：对于腰椎间盘突出症患者采取后路内固定治疗，可以常规选择后路椎间融合钉棒系统内固定的方式，近年来Isobar非融合内固定系统作为一种半坚强内固定腰椎后路动态钉棒固定系统开始逐渐应用在临床，成为患者的治疗选择方式之一。目的：临床对比观察研究分析采取后路Isobar非融合内固定系统和传统椎间融合钉棒系统内固定治疗腰椎间盘突出症的临床疗效。方法：对2011年9月至2012年9月收治解放军第二军医大学附属长海医院骨科进行手术治疗的腰椎间盘突出症患者40例，分为Isobar组和坚强内固定组，各20例，分别采用后路Isobar非融合内固定系统和传统椎间融合钉棒系统内固定进行治疗。结果与结论：两组患者均顺利完成手术，并完成至少2年以上随访，无脱落。与内固定前相比，两组患者内固定后腰腿痛目测类比评分、Oswestry功能障碍指数功能指数均显著改善；且与坚强内固定组相比，Isobar组患者治疗后腰椎活动度较大，而两组患者腰腿痛目测类比评分和Oswestry功能障碍指数接近。说明采用后路Isobar非融合内固定治疗能够获得传统治疗相同的治疗效果，且在腰椎活动度方面更具有优势。
揹景：對于腰椎間盤突齣癥患者採取後路內固定治療，可以常規選擇後路椎間融閤釘棒繫統內固定的方式，近年來Isobar非融閤內固定繫統作為一種半堅彊內固定腰椎後路動態釘棒固定繫統開始逐漸應用在臨床，成為患者的治療選擇方式之一。目的：臨床對比觀察研究分析採取後路Isobar非融閤內固定繫統和傳統椎間融閤釘棒繫統內固定治療腰椎間盤突齣癥的臨床療效。方法：對2011年9月至2012年9月收治解放軍第二軍醫大學附屬長海醫院骨科進行手術治療的腰椎間盤突齣癥患者40例，分為Isobar組和堅彊內固定組，各20例，分彆採用後路Isobar非融閤內固定繫統和傳統椎間融閤釘棒繫統內固定進行治療。結果與結論：兩組患者均順利完成手術，併完成至少2年以上隨訪，無脫落。與內固定前相比，兩組患者內固定後腰腿痛目測類比評分、Oswestry功能障礙指數功能指數均顯著改善；且與堅彊內固定組相比，Isobar組患者治療後腰椎活動度較大，而兩組患者腰腿痛目測類比評分和Oswestry功能障礙指數接近。說明採用後路Isobar非融閤內固定治療能夠穫得傳統治療相同的治療效果，且在腰椎活動度方麵更具有優勢。
배경：대우요추간반돌출증환자채취후로내고정치료，가이상규선택후로추간융합정봉계통내고정적방식，근년래Isobar비융합내고정계통작위일충반견강내고정요추후로동태정봉고정계통개시축점응용재림상，성위환자적치료선택방식지일。목적：림상대비관찰연구분석채취후로Isobar비융합내고정계통화전통추간융합정봉계통내고정치료요추간반돌출증적림상료효。방법：대2011년9월지2012년9월수치해방군제이군의대학부속장해의원골과진행수술치료적요추간반돌출증환자40례，분위Isobar조화견강내고정조，각20례，분별채용후로Isobar비융합내고정계통화전통추간융합정봉계통내고정진행치료。결과여결론：량조환자균순리완성수술，병완성지소2년이상수방，무탈락。여내고정전상비，량조환자내고정후요퇴통목측류비평분、Oswestry공능장애지수공능지수균현저개선；차여견강내고정조상비，Isobar조환자치료후요추활동도교대，이량조환자요퇴통목측류비평분화Oswestry공능장애지수접근。설명채용후로Isobar비융합내고정치료능구획득전통치료상동적치료효과，차재요추활동도방면경구유우세。
BACKGROUND:The patients with lumbar intervertebral disc protrusion can be treated with internal fixation of posterior surgery way. We can choose the conventional posterior intervertebral fusion nail stick system internal fixation. Isobar non-fusion internal fixation system was used in recent years. As a kind of a strong internal fixation of lumbar posterior dynamic screw rod fixation system, it has been gradual y applied in clinic, and has been one of patient’s treatment options. OBJECTIVE:To compare and analyze the clinical efficacy of Isobar non-fusion internal fixation system and traditional intervertebral fusion nail rod system internal fixation operation method in treatment of lumbar disc herniation. METHODS:From September 2011 to September 2012, 40 patients with lumbar disc herniation who were treated in the Department of Orthopedic, Changhai Hospital, the Second Military Medial University of Chinese PLA were enrol ed in this study. They were equal y assigned to the Isobar non-fusion internal fixation system group (Isobar group) and the traditional intervertebral fusion nail rod system internal fixation group (rigid internal fixation group) and subjected to corresponding treatments. RESULTS AND CONCLUSION:Surgery was successful y completed in patients of the two groups. These patients received at least 2 years of fol ow-up, no drop out. Compared with pre-fixation, low back pain Visual Analog Scale and Oswestry Disability Index were improved significantly after fixation in both groups. Compared with the rigid internal fixation group, range of motion of lumbar spine was larger in the Isobar group. Low back pain Visual Analog Scale and Oswestry Disability Index were similar between the two groups. These results indicated that posterior Isolbar non-fusion internal fixation obtained identical outcomes as traditional treatment, and showed more advantages in range of motion of lumbar spine.
