摘要
目的探讨后路减压固定加椎间cage融合术治疗腰椎滑脱症的X线、CT及MRI影像学疗效,为腰椎滑脱的临床治疗提供依据。方法对本院2013年6月-2014年1月收治的腰椎滑脱患者86例进行回顾性研究,按照临床试验数字随机的方法将患者分为两组,每组各43例,对照组采用后路减压固定进行治疗,观察组在对照组的基础上椎间cage融合术进行治疗,观察两组患者随访1年后的临床效果和X线、CT及MRI影像学结果。结果两组患者均获得治疗后的12个月的随访,术后随访12个月后,两组患者治疗后腰部疼痛症状较治疗前显著改善,且活动受限明显减轻,但观察组治疗后的优良率为93.02%,与对照组的90.70%相似,差异无统计学意义,P>0.05;经X线、CT及MRI检查术后两组患者椎体高度恢复正常,其恢复程度两组相似,差异无统计学意义,P>0.05,随访时,经CT检查发现,观察组椎体高度与术后相似,但观察组较术后有所降低,差异显著,P<0.05;以CT复查植骨与椎体间有连续的小骨梁判断为融合良好,观察组43例患者中术后40例融合良好,融合良好率为93.02%,对照组43例患者术后39例融合良好,融合良好率为90.70%,两组患者术后融合良好率相比,P>0.05。结论后路减压固定加椎间cage融合术治疗腰椎滑脱症临床效果显著,尤其在椎间隙高度恢复方面要显著优于单纯后路减压固定术,值得临床推广使用。
Objective To explore the imaging effect of posterior decompression and fixation combined with interbody cage fusion in the treatment of lumbar spondylolisthesis, and to provide the basis for clinical treatment of lumbar spondylolisthesis. Methods Lumbar spondylolisthesis patients of our hospital in June 2013-2014 January 86 cases were retrospectively studied, according to the clinical trials of random number method patients were divided into two groups, each with 43 cases in each group, control group with decompression and internal fixation for treatment, observation group in the control group on the basis of intervertebral fusion cage for treatment observed two groups of patients were followed up for tile clinical effect and radiographic results after 1 year. Results Two patients were followed for 12 months after treatment follow-up, postoperative follow-up of 12 months, two groups of patients after treatment of waist pain symptoms sibmificantly improved compared with before treatment, and the limitation of activity, was significantly reduced, but the excellent rate of observation group after treatment was 93.02%, and 90.70%, in the control group were similar to the difference no statistically significant, P〉0.05, the two groups of patients with vertebral height recovery, of postoperative CT is normal, the degree of recovery of the two groups were similar, the difference was not statistically significant, P〉0.05, were examined by CT, found that the observation group with postoperative vertebral height is similar, but the observation group was decreased significantly after operation, and P〈0.03, to review CT interbody bone grafting and continuous bone beam judged as good fusion, 43 patients in observation group, 40 cases of postoperative fnsion, fusion rate was 93.02%, the control group of 43 patients in 39 cases after fusion, fusion Good rate was 90.70%, compared two groups of patients with postoperative fusion rate, P〉0.05. Conclusion Posterior decompression and interbody fusion in the treatment of lnmb
出处
《中国CT和MRI杂志》
2017年第7期141-143,共3页
Chinese Journal of CT and MRI
基金
湖北省咸宁市卫生局科技计划项目(XN200923)
