椎间孔镜联合短节段固定治疗多节段腰椎退变性疾病的短期疗效

发布时间：2018-06-03 05:35

本文选题：椎间孔镜 + 短节段固定　；参考：《中国矫形外科杂志》2017年17期

【摘要】：[目的]探讨椎间孔镜联合短节段固定融合治疗多节段腰椎退变性疾病的短期疗效。[方法]选取2013年1月~2015年4月收治的18例老年多节段腰椎退变性疾病患者,采用椎间孔镜联合短节段固定融合技术治疗,对患者术前、术后及末次随访时视觉模拟评分法(VAS)和Oswestry功能障碍指数(ODI)进行评估,采用改良Mac Nab标准进行临床疗效评定。[结果]全部病例随访6~18(10.2±2.23)个月,均未出现感染、神经损伤、椎管内血肿等并发症。在末次随访中,腰背部疼痛VAS、ODI评分[(2.15±1.86)、(20.54±18.26)分]明显低于术前[(6.85±1.65)、(72.73±11.48)分],差异有统计学意义(P0.05)。疗效评价:优13例(72.22%),良3例(16.66%),可2例(11.11%)。[结论]椎间孔镜联合短节段固定可以实现对多节段腰椎退变性疾病的彻底减压、椎间盘的摘除及融合器的置入,手术创伤小,治疗效果优良。
[Abstract]:[objective] to investigate the short-term effect of intervertebral foramen combined with short-segment fixation in the treatment of multi-segmental lumbar degenerative diseases. [methods] from January 2013 to April 2015, 18 elderly patients with multilevel lumbar degenerative disease were treated with intervertebral foramen and short segment fixation fusion. Visual analogue score (VAS) and Oswestry dysfunction index (ODI) were evaluated after operation and at the last follow-up. The clinical efficacy was evaluated by modified Mac Nab criteria. [results] all the patients were followed up for 6 months (181810.2 卤2.23) months, without infection, nerve injury, hematoma in the spinal canal and other complications. At the last follow-up, the scores of VAS-ODI in lumbar and back pain [2.15 卤1.86, 20.54 卤18.26] were significantly lower than those before operation [6.85 卤1.65, 72.73 卤11.48], and the difference was statistically significant (P 0.05). The curative effect was evaluated as follows: excellent in 13 cases (72.22), good in 3 cases (16. 66), fair in 2 cases (11. 11%). [conclusion] Intervertebral foramen endoscopy combined with short segment fixation can achieve complete decompression of multilevel lumbar degenerative disease, intervertebral disc removal and fusion cage implantation.
【作者单位】：武警河南总队医院脊柱外科;
【分类号】：R687.3

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