期刊文献+

扩大开窗椎管减压术治疗腰椎管狭窄症的近期临床疗效

原文传递
导出
摘要 目的探讨扩大开窗椎管减压术治疗腰椎管狭窄症的临床疗效。方法 30例腰椎管狭窄症患者随机分为A、B两组,A组行扩大开窗减压手术,B组行传统全椎板减压、植骨融合内固定手术。术后采用VAS和JOA下腰痛评分系统评估治疗效果。结果随访6-12个月,平均7个月。A、B组手术前后VSA、JOA评分比较,差异有统计学意义(P〈0.01),随访两组疗效差异有统计学意义(P〈0.05)。A组总优良率为86.67%,B组总优良率为73.33%。结论扩大开窗椎管减压术治疗腰椎管狭窄症在保证减压彻底有效的前提下,术后近期疗效满意,优于全椎板切除加植骨融合内固定术。
出处 《江苏医药》 CAS CSCD 北大核心 2010年第22期2690-2692,共3页 Jiangsu Medical Journal
  • 相关文献

参考文献10

  • 1李仲廉等主编..临床疼痛治疗学 第3版[M].天津:天津科学技术出版社,2003:789.
  • 2Yone K, Saknn T, Kawauci Y, et al. Indication of fusion for lumlbar spinal stenosis in elderly patients and its significance [J]. Spine, 1996,21 (2) : 242-248. 被引量:1
  • 3张光铂.对腰椎管狭窄症疗效评定的建议[J].中国脊柱脊髓杂志,1994,4(5):240-241. 被引量:18
  • 4贾连顺,杨立利.退变性腰椎管狭窄症的现代外科学概念[J].中华骨科杂志,2002,22(8):509-512. 被引量:168
  • 5Katz MD, Lipson MD, Chang BA, et al. Seven-to-ten-year outcome of decompression surgery for degenerative lumbar spinal stenosis[J]. Spine, 1996,21 (23) :92-98. 被引量:1
  • 6Konrblum MB, Fischgrund JS, Herkowitz HN, et al. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective long-term study comparing fusion and pseudarthrosis [J]. Spine, 2004,29 (7) : 726-733. 被引量:1
  • 7Matsudairal K, Yamazaki T, Sciehil A, et al. Spinal stenosis in grade I degenerative lumbar spondylolisthesis a comparative study of outcomes following laminoplasty and laminectomy with instrumented spinal fusion[J]. J Orthop Sci,2005,10 (3) :270-276. 被引量:1
  • 8Fisehgrund JS,Mackay M, Herkowitz HN, et al. 1997 Volvo Awardwinner in clinical studies. Degenerative lumbar spondylolisthesis withspinal stenosis., a prospective, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal instrumentation[J]. Spine(PhilaPa 1976), 1997,22 (24):2807-2812. 被引量:1
  • 9傅一山,曾炳芳,徐建广,周蔚,赵必增,张涛.开窗减压手术治疗腰椎管狭窄症的临床研究[J].脊柱外科杂志,2009,7(6):341-345. 被引量:15
  • 10杨正国,厚兆军,鲁永刚,董录平,付小兵.椎板开窗潜挖式椎管扩大治疗腰椎管狭窄症[J].实用骨科杂志,2008,14(1):53-54. 被引量:13

二级参考文献24

  • 1李超,乔济民,干阜生,张广信,乔颖刚.开窗减压术治疗中央型腰椎管狭窄症[J].中国脊柱脊髓杂志,1993,3(4):145-148. 被引量:20
  • 2张伯勋.减少或防止腰椎术后综合征发生的几点浅见[J].中国脊柱脊髓杂志,2006,16(1):5-6. 被引量:19
  • 3刘郑生,侯克东,王岩,朱守荣,张永刚,肖嵩华,王征,陆宁,张雪松.老年退行性腰椎管狭窄症的手术疗效分析[J].中国脊柱脊髓杂志,2006,16(1):19-22. 被引量:26
  • 4Simotas AC. Nonoperative treatment for lumbar spinal stenosis [J]. Clin Orthop Relat Res, 2001, (384):153 -161. 被引量:1
  • 5Katz JN, Lipson SJ, Chang LC, et al. Seven- to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis [J]. Spine (Phila Pa 1976), 1996, 21(1) :92 -98. 被引量:1
  • 6Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries[ J]. Spine (Phila Pa 1976) , 1983, 8(8) :817 -831. 被引量:1
  • 7Sharma M, Langrana NA, Rodriguez J. Role of ligaments and facets in lumbar spinal stability [ J]. Spine ( Phila Pa 1976 ), 1995, 20(8) :887 -900. 被引量:1
  • 8Johnsson KE, Willner S, Johnsson K. Postoperative instability after decompression for lumbar spinal stenosis[ J]. Spine ( Phita Pa 1976), 1986, 11(2):107-110. 被引量:1
  • 9Postacchini F, Cinotti G. Bone regrowth after surgical decompression for lumbar spinal stenosis[ J]. J Bone Joint Surg Br, 1992, 74(6) :862 -869. 被引量:1
  • 10Kornblum MB, Fischgrund JS, Herkowitz HN, et al. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective long-term study comparing fusion and pseudarthrosis [ J ]. Spine ( Phila Pa 1976), 2004, 29 (7) :726 - 733. 被引量:1

共引文献209

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部