节段内修复手术治疗腰椎峡部裂及轻度峡部裂性滑脱的疗效分析

发布时间：2018-01-15 13:13

本文关键词：节段内修复手术治疗腰椎峡部裂及轻度峡部裂性滑脱的疗效分析　出处：《颈腰痛杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨节段内直接修复手术对于腰椎峡部裂及轻度峡部裂性滑脱的疗效。方法回顾2010-01-2015-06收治并手术治疗的55例腰椎峡部裂及小于Meyerding I°峡部裂性滑脱病例。按术式分为修复组(15例)及融合组(40例),统计各组术前及末次随访时的VAS评分、ODI指数以及腰椎活动度,同时统计各组手术时间及术中出血量以及并发症情况,结果以SPSS 19.0进行相关数据统计分析。结果两组患者一般资料无显著性差异(P0.05),末次随访两组VAS评分及ODI指数均较术前显著改善(P0.05),末次随访两组间VAS评分及ODI指数无显著差异(P0.05),但修复组腰椎活动度大于融合组(P0.05),修复组翻修率明显高于融合组(P0.05)。结论对于单纯腰椎峡部裂及伴轻度滑脱的患者,修复手术与融合手术疗效相当,且其有利于保留腰椎的活动度,但其手术翻修率相对较高。
[Abstract]:Objective to evaluate the efficacy of direct segmental repair in the treatment of lumbar spondylolysis and mild spondylolisthesis. Methods 55 cases of lumbar spondylolysis and small lumbar spondylolysis treated from 2010-01-2015-06 were retrospectively reviewed. Meyerding. I 掳isthmic spondylolisthesis. Divided into repair group (. (15 cases) and fusion group (40 cases). The VAS scores of each group before and at the last follow-up were counted. The operation time, intraoperative blood loss and complications were also counted. Results there was no significant difference in general data between the two groups (P 0.05). The VAS score and ODI index in the last follow-up group were significantly improved compared with those before operation (P 0.05). There was no significant difference in VAS score and ODI index between the last follow-up group and the last follow-up group (P 0.05). The revision rate of the repair group was significantly higher than that of the fusion group. Conclusion for the patients with simple lumbar spondylolysis and mild spondylolisthesis, the revision rate of the repair group was higher than that of the fusion group. The effect of prosthesis surgery is similar to that of fusion surgery, and it is helpful to preserve the range of motion of lumbar vertebrae, but the rate of operation revision is relatively high.
【作者单位】：同济大学附属东方医院脊柱外科;
【基金】：浦东新区卫生系统重点学科建设资助(编号:PWZx2014-02) 国家自然科学基金面上项目(编号:81371994)
【分类号】：R687.3
【正文快照】： 例数男:女年龄(岁)BMI DM HBP随访时间(月)修复组15 5:10 36.9±8.9 19.21±1.54 2(13.3%)3(20.0%)28.1±6.9融合组40 15:25 37.2±9.7 19.33±1.46 5(12.5%)6(15.0%)28.5±8.7腰椎峡部裂是常见的腰椎疾患,其人群发生率约为6%[1],峡部裂后常可合并腰椎滑脱,对于高度移位的患者

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