摘要
目的探讨经后路减压并固定融合责任节段术治疗退变性脊柱侧凸的临床疗效。方法选取2017年5月至2018年5月佛山市禅城区中心医院收治的退变性脊柱侧凸患者82例,根据融合范围分为长节段组和短节段组。两组患者均在彻底减压后固定融合责任节段,并对比两组患者手术情况、节段融合情况、近远期疗效及不良反应发生情况等指标。结果与短节段组相比,长节段组的手术时间更长、术中出血量更多、术后引流量更多,差异有统计学意义(P<0.05);短节段组融合节段有2.5个,长节段组融合节段有5.8个。结论经后路减压并固定融合责任节段术治疗退变性脊柱侧凸效果理想,长节段治疗创伤较大,但远期疗效更佳。
Objective To investigate the clinical effect of posterior decompression and fusion in the treatment of degenerative scoliosis.Methods Totally 82 patients with degenerative scoliosis admitted to Chancheng District Central Hospital of Foshan City from May 2017 to May 2018 were selected and divided into long segment group and short segment group according to the fusion range.After complete decompression,the fusion responsible segments were fixed in both groups,and the operation conditions,segmental fusion,short-term and long-term efficacy and adverse reactions were compared between the two groups.Results Compared with the short segment group,the operation time of the long segment group was longer,the intraoperative blood volume was more,and the postoperative drainage volume was more,the difference was statistically significant(P<0.05).There were 2.5 fusion segments in the short segment group and 5.8 fusion segments in the long segment group.Conclusion The effect of posterior decompression and fixation fusion at responsible segment in the treatment of degenerative scoliosis is ideal.The long-term effect is ideal,but the long-term effect is not good.
作者
陈海涛
淮诗媚
CHEN Haitao;HUAI Shimei(Chancheng District Central Hospital,Foshan,Guangdong 528031,China;Foshan Maternal and Child Health Hospital,Foshan,Guangdong 528000,China)
出处
《大医生》
2020年第5期47-49,共3页
Doctor
关键词
后路减压
融合责任节段
退变性脊柱侧凸
posterior decompression
fusion responsibility segment
degenerative scoliosis
