K.Rod脊柱动态稳定系统治疗腰椎间盘突出症近期疗效观察

发布时间：2018-12-30 13:54

【摘要】：目的观察K.Rod脊柱动态稳定系统治疗腰椎间盘突出症的近期临床疗效。方法选取腰椎间盘突出症患者289例,其中以传统钉棒系统治疗200例(对照组),以K.Rod脊柱动态稳定系统治疗89例(治疗组)。比较两组手术时间、术中出血量及术后住院时间、并发症,评价两组治疗前后疼痛程度、腰椎功能、手术节段腰椎屈伸角度、椎间隙高度变化,并统计两组手术节段上位椎间盘退变情况。结果两组手术时间、术中出血量、术后住院时间及并发症发生率比较差异无统计学意义,P均0.05;两组术后VAS、腰椎功能ODI评分、手术节段腰椎屈伸角度较术前下降,治疗组下降程度较对照组显著,P均0.05。治疗组手术前后椎间隙高度比较差异无统计学意义,对照组术后较术前低(P0.05),且术后治疗组较对照组高(P0.05)。治疗组手术前后手术区域上位邻近节段椎间盘退变情况比较,P0.05;对照组术后手术节段上位椎间盘退变较术前加重,且组间比较P0.05。结论应用K.Rod脊柱动态稳定系统可减轻腰椎间盘突出症患者的疼痛,显著改善其腰椎功能,增强脊柱稳定性,维持其椎间隙高度,减少相邻节段退变,近期临床疗效较好。
[Abstract]:Objective to observe the short-term clinical effect of K.Rod spinal dynamic stabilization system in the treatment of lumbar disc herniation. Methods two hundred and ninety-nine patients with lumbar disc herniation were treated with traditional nail and rod system (control group) and 89 patients with K.Rod spinal dynamic stabilization system (treatment group). The time of operation, the amount of intraoperative bleeding, the length of postoperative hospitalization, the complications, the degree of pain, the function of lumbar spine, the angle of lumbar flexion and extension, the height of intervertebral space before and after treatment were compared between the two groups. The degeneration of upper intervertebral disc in two groups was counted. Results there was no significant difference in operation time, intraoperative bleeding volume, postoperative hospitalization time and incidence of complications between the two groups (P 0.05). The VAS, lumbar function ODI score and the segmental lumbar flexion and extension angle of the two groups were significantly lower than those of the control group (P < 0.05). There was no significant difference in the height of intervertebral space before and after operation in the treatment group. The postoperative height in the control group was lower than that before operation (P0.05), and the treatment group was higher than that in the control group (P0.05). In the treatment group, the degeneration of the upper adjacent segment intervertebral disc was compared before and after operation (P0.05); in the control group, the degeneration of the surgical segment of the epigastric intervertebral disc was more serious than that before and after operation, and the comparison between the groups was P0.05. Conclusion the application of K.Rod dynamic stabilization system can relieve the pain of lumbar disc herniation, improve the lumbar function, enhance the stability of the spine, maintain the height of intervertebral space, and reduce the degeneration of adjacent segments. The clinical effect is good in the near future.
【作者单位】：昆明市第一人民医院甘美国际医院;
【分类号】：R687.3

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