老年腰椎滑脱患者微创手术和内固定治疗的临床疗效

发布时间：2018-02-01 17:57

本文关键词： 腰椎滑脱微创手术内固定治疗　出处：《中国老年学杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨老年腰椎滑脱患者微创手术和内固定治疗的临床研究。方法选取2013年5月至2015年4月在该院接受治疗的腰椎滑脱患者60例,随机分为观察组和对照组各30例,观察组腰椎内固定治疗采取微创手术进行,对照组采用常规手术方法,比较两组患者手术时间、术中出血量、日本骨科学会(JOA)评分、Oswestry功能障碍(ODI)指数以及视觉模拟评分法(VAS)评分情况、术后影像学改变情况(椎间隙高度、融合率)和两组患者对疗效的满意度情况。结果治疗后,观察组手术时间、术中出血量明显低于对照组,射线暴露时间明显高于对照组,JOA评分高于对照组(P0.05)。治疗后,两组ODI指数以及VAS评分均下降,且差异均有统计学意义(P0.05)。两组术后1个月的矫正率有所下降,且两组比较差异有统计学意义(P0.05)。两组术后1个月的椎间隙高度变化以及骨性融合均升高,组间比较差异有统计学意义(P0.05)。观察组治疗1个月后满意度高于对照组(P0.05)。结论微创手术联合内固定治疗腰椎滑脱患者手术时间短、术中出血量少、提高患者骨性融合率,减少患者的疼痛感受,有效提高治疗效果,并且治疗后患者的满意度比较高。
[Abstract]:Objective to investigate the clinical study of minimally invasive surgery and internal fixation in elderly patients with lumbar spondylolisthesis. Methods 60 cases of lumbar spondylolisthesis treated in our hospital from May 2013 to April 2015 were selected. Two groups were randomly divided into observation group and control group (30 cases each). The patients in the observation group were treated with minimally invasive surgery, and the patients in the control group were treated with conventional operation methods. The time of operation and the amount of intraoperative bleeding were compared between the two groups. Japanese Orthopedic Association (JOAA) score Oswestry dysfunction (Oswestry) index and visual analogue score (VAS) score, postoperative imaging changes (intervertebral space height). Results after treatment, the operation time and intraoperative blood loss in the observation group were significantly lower than those in the control group, and the radiation exposure time was significantly higher than that in the control group. The JOA score was higher than that in the control group (P 0.05). After treatment, the ODI index and VAS score of the two groups decreased. The difference was statistically significant (P 0.05). The correction rate of the two groups decreased 1 month after operation. The difference between the two groups was statistically significant (P 0.05). The height of intervertebral space and bone fusion increased 1 month after operation in both groups. There was significant difference between the two groups (P 0.05). The satisfaction of the observation group was higher than that of the control group after one month. Conclusion the operation time of the patients with lumbar spondylolisthesis treated by minimally invasive surgery combined with internal fixation is shorter than that of the control group. The amount of intraoperative bleeding was less, the rate of bone fusion was improved, the pain feeling of patients was reduced, the effect of treatment was improved effectively, and the satisfaction of patients after treatment was higher.
【作者单位】：遵义医学院附属医院骨科;
【基金】：贵州省卫生厅科学技术基金项目(No.gzwkj2013-1-011)
【分类号】：R687.3
【正文快照】： 微创手术治疗腰椎滑脱在临床应用中越来越广泛,并且治疗效果也比较好。但是传统手术治疗患者在术中出血量比较大,并且对患者的创伤也比较大〔1〕。本研究拟分析采用微创手术治疗腰椎滑脱患者的疗效。1材料与方法1.1一般资料选择2013年5月至2015年4月遵义医学院附属医院接受诊

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