纤维环修补技术在腰椎髓核摘除术中临床疗效的Meta分析

发布时间：2018-02-26 06:07

本文关键词： 腰椎髓核摘除术纤维环修补再突出　出处：《中国矫形外科杂志》2017年09期 　论文类型：期刊论文

【摘要】：[目的]评价纤维环修补技术在腰椎髓核摘除术中的应用价值。[方法]通过计算机检索Pub Med、Embase和相关期刊论文CNKI等中英文数据库以及手工检索有关腰椎髓核摘除术中应用纤维环修补技术的相关研究和文献,将应用纤维环修补技术的髓核摘除术与传统单纯髓核摘除术的术后疼痛评分、术后神经功能、复发率、椎间高度、手术相关并发症发生率等进行比较。[结果]共纳入5篇符合纳入标准的近期文献,累计病例1 118例。Meta分析表明,应用纤维环修补技术的腰椎髓核摘除术在术后并发症发生率、复发率、ODI指数、VAS评分、JOA评分和椎间隙高度与传统单纯髓核摘除术相比无显著差异。[结论]目前尚无法证明在腰椎髓核摘除术中应用纤维环修补技术可以改善患者预后,鉴于目前纤维环修补技术相关的高质量临床研究仍较少,仍需进一步评估该技术的临床价值。
[Abstract]:[objective] to evaluate the application value of annular repair technique in lumbar spinal nucleus excision. [methods] Chinese and English databases such as Pub MedEmbase, Chinese Journal Full-text Database (CNKI), and manual retrieval of lumbar nucleus pulposus were searched by computer. Research and literature on the application of annular repair technique in excision, The postoperative pain score, postoperative neurological function, recurrence rate, intervertebral height and postoperative pain score of nucleus pulposus resection with annular repair technique and traditional simple nucleus pulposus extirpation were evaluated. The incidence of surgical complications was compared. [results] A total of 5 recent literatures that met the inclusion criteria were included. A meta-analysis of 1,118 cases showed that the incidence of postoperative complications in lumbar spinal nucleus pulpotomy with annular repair technique was significant. There was no significant difference in the recurrence rate and the VAS score, the JOA score and the height of intervertebral space between the two groups. [conclusion] at present, it is not possible to prove that the application of fiber ring repair in lumbar spinal nucleus pulpotomy can improve the prognosis of the patients. In view of the lack of high quality clinical research related to fiber ring repair, the clinical value of this technique needs to be further evaluated.
【作者单位】：胜利油田中心医院脊柱外科;
【分类号】：R687.3

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