中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
9期
1367-1369
,共3页
张骞%张劼%李保健%扈桂海
張鶱%張劼%李保健%扈桂海
장건%장할%리보건%호계해
脊柱疾病%椎板切除术%脊柱融合术%内固定器
脊柱疾病%椎闆切除術%脊柱融閤術%內固定器
척주질병%추판절제술%척주융합술%내고정기
Spinal diseases%Laminectomy%Spinal fusion%Internal fixators
目的 观察短节段单侧椎板切除减压椎间植骨融合椎弓根螺钉固定治疗腰椎不稳症的临床疗效.方法 选取腰椎不稳症患者100例,采用随机数字表法分为观察组和对照组各50例,观察组采用短节段单侧椎板切除减压椎间植骨融合椎弓根螺钉固定法治疗,对照组采用常规方法进行治疗.观察并比较两组术中、术后情况及临床疗效.结果 观察组手术时间、术中出血量、引流量、住院时间以及住院费用分别为(121.31±13.73)min、(151.24±24.65)mL、(35.34 ±6.79)mL、(12.03 ±3.22)d和(22 012.23 ±3 018.67)元,显著低于对照组的(161.32±11.60) min、(201.32±25.46) mL、(102.35±11.87) mL、(19.42±4.31)d和(26 278.65±3 216.53)元(t=9.829、10.829、7.984、10.983、9.593,均P＜0.05).观察组优良率为92％,显著高于对照组的70％(x2=13.927,P＜0.05).结论 短节段单侧椎板切除减压椎间植骨融合椎弓根螺钉固定治疗腰椎不稳症疗效高、手术时间和住院时间短、术中出血量和术后引流量少、医疗费用低,是一种较好的手术方案.
目的 觀察短節段單側椎闆切除減壓椎間植骨融閤椎弓根螺釘固定治療腰椎不穩癥的臨床療效.方法 選取腰椎不穩癥患者100例,採用隨機數字錶法分為觀察組和對照組各50例,觀察組採用短節段單側椎闆切除減壓椎間植骨融閤椎弓根螺釘固定法治療,對照組採用常規方法進行治療.觀察併比較兩組術中、術後情況及臨床療效.結果 觀察組手術時間、術中齣血量、引流量、住院時間以及住院費用分彆為(121.31±13.73)min、(151.24±24.65)mL、(35.34 ±6.79)mL、(12.03 ±3.22)d和(22 012.23 ±3 018.67)元,顯著低于對照組的(161.32±11.60) min、(201.32±25.46) mL、(102.35±11.87) mL、(19.42±4.31)d和(26 278.65±3 216.53)元(t=9.829、10.829、7.984、10.983、9.593,均P＜0.05).觀察組優良率為92％,顯著高于對照組的70％(x2=13.927,P＜0.05).結論 短節段單側椎闆切除減壓椎間植骨融閤椎弓根螺釘固定治療腰椎不穩癥療效高、手術時間和住院時間短、術中齣血量和術後引流量少、醫療費用低,是一種較好的手術方案.
목적 관찰단절단단측추판절제감압추간식골융합추궁근라정고정치료요추불은증적림상료효.방법 선취요추불은증환자100례,채용수궤수자표법분위관찰조화대조조각50례,관찰조채용단절단단측추판절제감압추간식골융합추궁근라정고정법치료,대조조채용상규방법진행치료.관찰병비교량조술중、술후정황급림상료효.결과 관찰조수술시간、술중출혈량、인류량、주원시간이급주원비용분별위(121.31±13.73)min、(151.24±24.65)mL、(35.34 ±6.79)mL、(12.03 ±3.22)d화(22 012.23 ±3 018.67)원,현저저우대조조적(161.32±11.60) min、(201.32±25.46) mL、(102.35±11.87) mL、(19.42±4.31)d화(26 278.65±3 216.53)원(t=9.829、10.829、7.984、10.983、9.593,균P＜0.05).관찰조우량솔위92％,현저고우대조조적70％(x2=13.927,P＜0.05).결론 단절단단측추판절제감압추간식골융합추궁근라정고정치료요추불은증료효고、수술시간화주원시간단、술중출혈량화술후인류량소、의료비용저,시일충교호적수술방안.
Objective To investigate the curative effect of short segment of unilateral laminectomy decompression of intervertebral bone graft fusion with pedicle screw fixation in treatment of lumbar spine instability.Methods 100 cases with lumbar instability were randomly divided into the study group and control group with 50 cases in each group,the study group was treated with short segment of unilateral laminectomy decompression of intervertebral bone graft fusion with pedicle screw fixation for treatment,while the control group was treated with conventional methods of treatment.The intraoperative,postoperative situation and clinical efficacy of the two groups were observed and compared.Results The operation time,intraoperative bleeding,drainage,hospital stay and cost of hospitalization of the study group were (121.31 ± 13.73) min,(151.24 ± 24.65) mL,(35.34 ± 6.79) mL,(12.03 ± 3.22) d and (22 012.23 ± 3 018.67)yuan respectively,which were significantly lower than those of the control group[(161.32 ± 11.60) min,(201.32 ± 25.46) mL,(102.35 ± 11.87) mL,(19.42 ± 4.31) d and (26 278.65 ± 3 216.53) yuan] (t =9.829,10.829,7.984,10.983,9.593,all P ＜0.05).The excellent and good rate of the study group was 92％,which was significantly higher than 70％ of the control group (x2 =13.927,all P ＜ 0.05).Conclusion Short segment of unilateral laminectomy decompression of intervertebral bone graft fusion has a high curative effect in the treatment of lumbar instability,with short operation time and hospitalization time,less blood loss and postoperative drainage volume,low medical cost,which is a good operation scheme.
