摘要
目的探讨单侧椎弓根螺钉联合腰椎后路椎间融合术在腰椎间盘突出症治疗中的临床效果。方法选取腰椎间盘突出症急性发作患者100例,随机分为双侧椎弓根螺钉内固定组(常规组)和单侧椎弓根螺钉联合腰椎后路椎间融合术组(结合组),各50例。对两组治疗前及治疗后1w、2w、30d、60d、90d及末次随访时患者的水肿、疼痛等症状和运动功能进行评价。结果治疗后结合组各阶段的腰腿痛VAS评分、MacNab腰腿痛疗效评价、ODI评分均优于常规组(P<0.05),水肿明显减轻,关节活动度增加,两组比较,差异有统计学意义(P<0.05)。结论单侧椎弓根螺钉联合腰椎后路椎间融合术中远期可明显减轻患者的水肿、疼痛,促进其运动功能恢复。
Objective To evaluate the clinical effects of unilateral pedicle screw fixation combined with posterior lumbar interbody fusion in the treatment of lumbar disc herniation.Methods 100 patients with lumbar intervertebral disc herniation were selected and randomly divided into the conventional group with bilateral pedicle screw fixation and the combination group with unilateral pedicle screw fixation combined with posterior lumbar interbody fusion.Each group consisted of 50 cases.The patients＇ symptoms including edema and pain and their motor function were evaluated by comparing the data obtained before the treatment,in the follow-ups conducted 1week,2weeks,30 days,60days and 90 days after the treatment respectively,and in the last follow-up.Results There were significant difference in the visual analogue scale（VAS）score of lumbocrural pain,the MacNab back leg pain efficacy evaluation and the Oswestry disability index（ODI）respectively between the conventional group and the combination group（P〈0.05）in each of the follow-up stages,and the clinical effects of the combination group were superior to those of the conventional group.The symptoms including edema and pain were evidently relieved,and there was a significant difference in relieving the symptoms between the conventional group and the combination group（P〈0.05）.Conclusion In the middle and long term,the unilateral pedicle screw fixation combined with posterior lumbar interbody fusion is very effective in relieving the symptoms including edema and pain in patients with lumbar disc herniation and in facilitating the recovery of their motor function.
出处
《成都医学院学报》
CAS
2016年第2期243-246,253,共5页
Journal of Chengdu Medical College
关键词
腰椎间盘突出症
单侧椎弓根螺钉内固定
双侧椎弓根螺钉内固定
腰椎后路椎间融合术
Lumbar intervertebral disc herniation
Unilateral pedicle screw fixation
Bilateral pedicle screw fixation
Posterior lumbar interbody fusion
