腰椎退行性疾病患者腰椎融合术中应用新型可膨胀式椎间融合器的效果观察

发布时间：2019-07-11 07:09

【摘要】：目的探讨新型可膨胀式椎间融合器用于腰椎融合术治疗腰椎退行性疾病的效果。方法选择腰椎退行性疾病患者68例,随机分为观察组38例及对照组30例。两组均行腰椎融合术,观察组术中植入新型可膨胀式椎间融合器,对照组术中植入圆柱状螺纹融合器。记录两组手术时间及术中出血量,手术前及术后1、3、6个月评价Oswestry腰腿功能指数(ODI)及日本矫形科学学会(JOA)脊髓功能评分,术后6个月评价临床疗效并根据X线检查观察椎间融合情况。结果两组手术时间及术中出血量比较差异均无统计学意义(P均0.05)。与同组术前比较,两组术后1、3、6个月ODI均降低,JOA脊髓功能评分均升高,且观察组术后3、6个月变化更明显(P均0.05)。观察组及对照组总有效率分别为97.3%、90.0%(P0.05)。观察组坚固融合21例(55.3%)、可能融合17例(44.7%),对照组分别为14例(46.7%)、16例(54.3%),观察组坚固融合率高于对照组(P0.05)。结论腰椎退行性疾病患者腰椎融合术中应用新型可膨胀式椎间融合器治疗及固定效果较好。
[Abstract]:Objective to investigate the effect of a new expandable intervertebral fusion cage in the treatment of lumbar degenerative diseases. Methods Sixty-eight patients with lumbar degenerative diseases were randomly divided into observation group (n = 38) and control group (n = 30). Lumbar fusion was performed in both groups. A new expandable interbody fusion cage was implanted in the observation group and cylindrical thread fusion cage in the control group. The operation time and intraoperative bleeding volume were recorded, Oswestry waist and leg function index (ODI) and (JOA) spinal cord function score were evaluated at 6 months before and 1, 3 months after operation, and the clinical efficacy was evaluated 6 months after operation, and the interbody fusion was observed according to X-ray examination. Results there was no significant difference in operation time and intraoperative blood loss between the two groups (P 0.05). Compared with the same group before operation, ODI decreased and JOA spinal cord function score increased at 1, 3 and 6 months after operation, and the changes were more obvious in the observation group at 3 and 6 months after operation. The total effective rates of the observation group and the control group were 97.3% and 90.0% respectively (P 0.05). There were 21 cases (55.3%) of solid fusion and 17 cases (44.7%) of possible fusion in the observation group, 14 cases (46.7%) in the control group and 16 cases (54.3%) in the control group. The solid fusion rate in the observation group was higher than that in the control group (P 0.05). Conclusion the new expandable interbody fusion cage is effective in the treatment and fixation of lumbar fusion in patients with lumbar degenerative diseases.
【作者单位】：吉林医药学院附属医院;
【基金】：吉林省教育厅“十二五”科学技术研究项目(吉教科合字[2012]332)
【分类号】：R687.3

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