后路手术治疗腰椎退变性侧凸50例分析

发布时间：2018-10-14 10:05

【摘要】：[目的]探讨后路手术治疗腰椎退变性侧凸的临床疗效。[方法]选择本院2012年1月~2015年12月收治的50例腰椎退变性侧凸患者,临床均给予后路手术治疗。观察术后视觉模拟评分(VAS)、腰椎冠状位Cobb角、矢状位前凸角、生活质量评分(SF-36)的变化,并统计临床疗效和并发症情况。[结果]术后随访1~2年。术后3、6个月、1年时,患者VAS评分较术前显著降低(P0.05),且随时间增加显著降低(P0.05)。术后3、6个月、1年时,患者腰椎冠状位Cobb角较术前显著降低(P0.05),且随时间增加显著降低(P0.05),但术后1年与术后6个月比较差异不显著(P0.05)。术后3、6个月、1年时,患者矢状位前凸角较术前显著升高(P0.05),且随时间增加显著升高(P0.05),但术后1年与术后6个月时比较差异不显著(P0.05)。术后患者SF-36各指标生理功能、生理职能、躯体疼痛、总体健康、情感职能、生命活力、社会功能评分较术前均明显增加(P0.05)。3个月时总优良率为78.0%,6个月时总优良率为88.5%,1年时总优良率为91.5%。[结论]后路手术可有效治疗腰椎退变性侧凸,改善脊柱畸形,缓解疼痛,效果满意。
[Abstract]:[objective] to investigate the clinical effect of posterior approach for lumbar degenerative scoliosis. [methods] Fifty patients with lumbar degenerative scoliosis from January 2012 to December 2015 were treated with posterior approach. Postoperative visual analogue score (VAS),) of Cobb angle of coronal position, sagittal kyphosis angle and quality of life score (SF-36) of lumbar vertebrae were observed, and the clinical efficacy and complications were analyzed. [results] postoperative follow-up was 1 ~ 2 years. At 3, 6 months and 1 year after operation, the VAS scores of the patients were significantly lower than those of the patients before operation (P0.05), and decreased significantly with the increase of time (P0.05). At 3 months 6 months and 1 year after operation the coronal Cobb angle of lumbar vertebrae decreased significantly (P0.05) and increased significantly with time (P0.05) but there was no significant difference in postoperative 1 year and 6 months after operation (P0.05). The sagittal kyphosis angle increased significantly in 3 months and 1 year after operation (P0.05) and increased significantly with time (P0.05), but there was no significant difference between 1 year after operation and 6 months after operation (P0.05). The indexes of SF-36 after operation were physiological function, somatic pain, general health, emotional function, life vigor, The total excellent and good rate was 78.0 at 3 months, 88.5 at 6 months, and 91.5 at 1 year. Conclusion posterior approach can effectively treat lumbar degenerative scoliosis, improve spinal deformity and relieve pain.
【作者单位】：河南省洛阳正骨医院河南省骨科医院脊柱外科;
【分类号】：R687.3

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