摘要
目的 分析不同手术方式治疗腰椎间盘突出症术后残余症状发生率,探讨其原因及临床意义.方法 224例腰椎间盘突出症术后患者获得随访,其中腰椎间盘髓核摘除术110例（单摘组）,腰椎间盘髓核摘除植骨融合内固定术70例（融合组）,腰椎间盘髓核摘除动态内固定术44例（非融合组）.观察三组术后残余症状的临床表现及发生率.利用SPSS 19.0软件进行统计学分析.结果 224例患者术后随访期末,出现术后残余症状106例（47.32％,106/224）,其中单摘组69例（62.73％,69/110）,融合组26例（37.14％,26/70）,非融合组11例（25.00％,11/44）,三组术后残余症状发生率比较差异有统计学意义（x2=22.177,P=0.000）,单摘组与非融合组和融合组术后残余症状发生率比较差异有统计学意义（x2=17.921,P=0.000;x2=11.235,P=0.001）,融合组与非融合组术后残余症状发生率比较差异无统计学意义（x2=1.817,P=0.178）.结论 不同手术方式治疗腰椎间盘突出症,术后残余症状发生率有差异,腰椎植骨融合术及动态内固定术能有效降低腰椎术后残余症状的发生.
Objective To analyze the incidence of remaining symptoms after discectomy with different operation,and investigate its causes and clinical significance.Methods Two hundred and twentyfour patients were followed up.The incidence of remaining symptoms and clinicai situation after discectomy were observed with different operation：discectomy （110 patients,single group）,discectomy with bone grafting internal fixation （70 patients,fusion group）,and discectomy with dynamic fixation （44 patients,non-fusion group）.The SPSS 19.0 software was used to analyze the data.Results One hundred and sixpatients （47.32%,106/224） occurred remaining symptoms in 224 patients.In single group was 69 patients （62.73%,69/110）,in fusion group was 26 patients （37.14%,26/70）,and in non-fusion group was 11 patients （25.00%,11/44）.The incidence of remaining symptoms among three groups was significant difference（x2 =22.177,P =0.000）.The incidence of remaining symptoms in single group was significantly higher than that in non-fusion group and fusion group （x2 =17.921,P =0.000;x2 =11.235,P =0.001）.The incidence of remaining symptoms in non-fusion group and fusion group had no significant difference （x2 =1.817,P =0.178）.Conclusions There is significantly different in the incidence of lumbar disc herniation with different surgery methods.Discectomy with bone grafting internal fixation and with dynamic fixation can effectively reduce the incidence of remaining symptoms.
出处
《中国医师进修杂志》
2015年第7期486-490,共5页
Chinese Journal of Postgraduates of Medicine
关键词
腰椎间盘移位
椎间盘切除术
经皮
腰椎术后残余症状
腰椎植骨融合内固定术
腰椎动态内固定术
Intervertebral disk displacement
Diskectomy,percutaneous
Remaining symptoms after discectomy
Discectomy with bone grafting internal fixation
Discectomy with dynamic fixation
