摘要
目的:探讨RMAST微创通道下减压单边椎弓根钉棒内固定联合椎间Cage植骨融合术治疗腰椎间盘突出症疗效。方法:选取2017年2月~2019年2月某院腰椎间盘突出症患者84例,按照手术方案不同分为研究组和参照组各42例。参照组行双侧椎弓根内固定联合椎间Cage植骨融合术,研究组行RMAST微创通道下减压单边椎弓根钉棒内固定联合椎间Cage植骨融合术。术前、术后1月、术后3个月以视觉模拟疼痛评分(VAS)评估腰痛、腿痛情况,比较两组手术相关指标(术中出血量、手术时间、住院时间)、VAS评分。结果:与参照组相比,研究组术中出血量较少,手术时间、住院时间较短(P<0.05);术后1个月,研究组腿痛VAS评分、腰痛VAS评分低于参照组(P<0.05);结论:腰椎间盘突出症行RMAST微创通道下减压单边椎弓根钉棒内固定联合椎间Cage植骨融合术治疗,能减少术中出血量,缩短手术时间、住院时间,减轻术后腰腿痛,值得推广。
Objective:To evaluate the efficacy of internal fixation of unilateral pedicle screw under decompression RMAST minimally invasive channel combined with intervertebral Cage graft fusion in the treatment of lumbar disc protrusion.Methods:84 patients with lumbar disc herniation in a hospital from February 2017 to February 2019 were enrolled.The patients were divided into study group(n=42)and reference group(n=42)according to the surgical plan.The patients in the reference group were treated with bilateral pedicle screw internal fixation combined with intervertebral Cage graft fusion.The study group underwent internal fixation of unilateral pedicle screw under decompression RMAST minimally invasive channel combined with intervertebral Cage graft fusion.The lumbar pain and leg pain were evaluated by visual analog pain score(VAS)before operation,1 month after operation and 3 months after operation.The surgical related indexes(intraoperative blood loss,operation time,hospitalization time)and VAS score were compared between the two groups.Results:Compared with the reference group,the study group had less intraoperative blood loss,shorter operation time and hospitalization time(P<0.05).One month after operation,the study group had lower leg pain VAS score and lower back pain VAS score than the reference group(P<0.05).Conclusion:Internal fixation of unilateral pedicle screw under decompression RMAST minimally invasive channel combined with intervertebral Cage graft fusion in the treatment of lumbar disc protrusion can reduce the amount of intraoperative blood loss,shorten the operation time and hospital stay,relieve postoperative lumbar and leg pain,which is worthy of promotion.
作者
刘晨阳
Liu Chenyang(Department of Orthopedics,Nanyang No.2 People's Hospital,Nanyang 473000)
出处
《数理医药学杂志》
2020年第12期1752-1754,共3页
Journal of Mathematical Medicine
关键词
微创通道
单边椎弓根钉棒内固定
椎间Cage植骨融合
腰椎间盘突出症
minimally invasive channel
unilateral pedicle screw internal fixation
intervertebral Cage graft fusion
lumbar disc protrusion
