Dynesys动态固定系统治疗腰椎间盘突出症的临床疗效

发布时间：2019-04-19 14:32

【摘要】：[目的]探讨Dynesys动态固定系统治疗腰椎间盘突出症的临床疗效。[方法]自2012年8月~2016年6月,采用Dynesys动态固定系统结合后路开窗髓核摘除治疗腰椎间盘突出症86例,观察指标包括手术时间、出血量、手术前后腰痛及腿痛视觉模拟评分(visual analog scale,VAS)、Oswestry功能障碍指数(Oswestry disability index,ODI)、手术节段活动度及并发症。[结果]术后随访12~42个月,平均28个月。术后3个月、1年和末次随访时的VAS及ODI均较术前明显下降,差异有统计学意义(P0.05),手术节段保持了一定的活动度,但较术前明显减少,差异有统计学意义(P0.05)。[结论]Dynesys动态固定系统结合后路开窗髓核摘除治疗腰椎间盘突出症的早期效果较明显,在稳定脊柱的前提下可保留一定的腰椎活动度,但远期疗效还需进一步观察。
[Abstract]:[objective] to investigate the clinical efficacy of Dynesys dynamic fixation system in the treatment of lumbar disc herniation. [methods] from August 2012 to June 2016, 86 patients with lumbar disc herniation were treated with Dynesys dynamic fixation system combined with posterior fenestration of nucleus pulposus. The visual analogue score of low back pain and leg pain before and after operation (visual analog scale,VAS), Oswestry dysfunction index (Oswestry disability index,ODI), range of movement of operative segment and complications. [results] all patients were followed up for 12 months and 42 months (mean, 28 months). The VAS and ODI at 3 months, 1 year and at the last follow-up were significantly lower than those before the operation (P0.05). The operative segment maintained a certain degree of activity, but significantly decreased compared with that before the operation. The difference was statistically significant (P0.05). [conclusion] Dynesys dynamic fixation system combined with posterior fenestration of nucleus pulposus for the treatment of lumbar disc herniation is more effective in the early stage, and can retain a certain range of lumbar motion on the premise of stabilizing the spine, but the long-term effect needs to be further observed.
【作者单位】：河南省人民医院(郑州大学人民医院);河南省濮阳市油田总医院;
【基金】：河南省科技攻关计划项目(编号:122102310105)
【分类号】：R687.3

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