中国医药科学
中國醫藥科學
중국의약과학
China Medicine and Pharmacy
2015年
18期
182-184
,共3页
通用型脊柱内固定系统%植骨融合%腰椎滑脱
通用型脊柱內固定繫統%植骨融閤%腰椎滑脫
통용형척주내고정계통%식골융합%요추활탈
Universal spinal internal fixation system%Bone graft fusion%Lumbar olisthe
目的：研究GSS治疗腰椎滑脱的植骨融合率及疗效。方法选择2012年2月～2014年7月我院的104例腰椎滑脱患者实施研究。以数字法随机分成观察组（52例）和对照组（52例）。其中观察组患者采用GSS内固定联合植骨融合治疗，而对照组单纯进行植骨融合治疗。对比两组疗效以及出血量以及出血时长。结果观察组疗效为优者占比，优良率占比，均显著高于对照组。观察组出血量，平均手术时长，均显著少于对照组。术前观察组与对照组在椎间隙高度上比较无显著差异，术后观察组在椎间隙高度的维持上好于对照组。观察组植骨融合率显著高于对照组。差异均有统计学意义（均P＜0.05）。结论 GSS内固定联合植骨融合不仅可明显提升治疗效果，还可减少术中出血量以及手术时间，提高融合率。安全性较好，值得临床推荐。
目的：研究GSS治療腰椎滑脫的植骨融閤率及療效。方法選擇2012年2月～2014年7月我院的104例腰椎滑脫患者實施研究。以數字法隨機分成觀察組（52例）和對照組（52例）。其中觀察組患者採用GSS內固定聯閤植骨融閤治療，而對照組單純進行植骨融閤治療。對比兩組療效以及齣血量以及齣血時長。結果觀察組療效為優者佔比，優良率佔比，均顯著高于對照組。觀察組齣血量，平均手術時長，均顯著少于對照組。術前觀察組與對照組在椎間隙高度上比較無顯著差異，術後觀察組在椎間隙高度的維持上好于對照組。觀察組植骨融閤率顯著高于對照組。差異均有統計學意義（均P＜0.05）。結論 GSS內固定聯閤植骨融閤不僅可明顯提升治療效果，還可減少術中齣血量以及手術時間，提高融閤率。安全性較好，值得臨床推薦。
목적：연구GSS치료요추활탈적식골융합솔급료효。방법선택2012년2월～2014년7월아원적104례요추활탈환자실시연구。이수자법수궤분성관찰조（52례）화대조조（52례）。기중관찰조환자채용GSS내고정연합식골융합치료，이대조조단순진행식골융합치료。대비량조료효이급출혈량이급출혈시장。결과관찰조료효위우자점비，우량솔점비，균현저고우대조조。관찰조출혈량，평균수술시장，균현저소우대조조。술전관찰조여대조조재추간극고도상비교무현저차이，술후관찰조재추간극고도적유지상호우대조조。관찰조식골융합솔현저고우대조조。차이균유통계학의의（균P＜0.05）。결론 GSS내고정연합식골융합불부가명현제승치료효과，환가감소술중출혈량이급수술시간，제고융합솔。안전성교호，치득림상추천。
Objective To study the GSS for the treatment of lumbar spine bone graft fusion rate and curative effect. Methods 104 patients with lumbar olisthe in our hospital from February 2012 to July 2012 were selected. In digital method randomly divided into observation group (52 cases) and control group (52 cases). The observation group was treated by GSS internal fixation with bone graft fusion therapy, while the control group was pure treatment with bone graft fusion. Comparing two groups of curative effect and the bleeding and bleeding time.Results The observation group's curative effect for instituting proportion was accounted significantly higher than the control group. Observation group's blood loss, and the average operation time, was significantly less than the control group. Preoperative observation group and control group was no significant difference in the intervertebral disc height, postoperative observation group in maintenance of intervertebral disc height was superior to the control group. Observation group of bone graft fusion rate was significantly higher than the control group. Were statistically significant differences (allP<0.05). Conclusion The combined bone graft fusion GSS internal fixation not only can obviously improve curative effect, still can reduce intraoperative blood loss and operation time, improve the convergence rate. Security is good, it is worth clinical recommendations.
