摘要
目的探究椎间孔镜下治疗腰椎间盘突出症切除黄韧带对腰椎前凸角、骶骨倾斜角、腰椎曲线指数及椎间隙高度的影响。方法选择120例腰椎间盘突出症患者,随机分为观察组与对照组各60例。观察组患者椎间孔镜术中切除部分黄韧带;对照组患者保留黄韧带。比较两组患者术后半年、1年及2年的腰椎前凸角、骶骨倾斜角、腰椎曲线指数及椎间隙高度。结果观察组术后半年、1年腰椎前凸角、骶骨倾斜角、腰椎曲线指数及椎间隙高度与对照组比较(P>0.05)。观察组术后2年与对照组比较(P<0.05)。结论椎间孔镜下治疗腰椎间盘突出症保留黄韧带术后腰椎前凸角、骶骨倾斜角、腰椎曲线指数及椎间隙高度远期效果优于切除黄韧带。
Objective To explore the effects of ligamentum flavum resection on lumbar lordosis angle,sacral inclination angle,lumbar curve index and height of intervertebral space.Methods 120 patients with lumbar disc herniation were randomly divided into observation group and control group.In the observation group,part of the ligamentum flavum was excised by endoscope and in the control group,the ligamentum flavum was preserved.The lumbar lordosis angle,sacral inclination angle,lumbar curve index and intervertebral space height of the two groups were compared at 6 months,1 year and 2 year after operation.Results At 6 months,1 year after operation,the lumbar lordosis angle,sacral inclination angle,lumbar curve index and height of intervertebral space in the observation group were compared with those in the control group(P>0.05).2 years after operation,the observation group was compared with the control group(P<0.05).Conclusion The long-term effect of ligamentum flavum preserving on lumbar lordosis angle,sacral inclination angle,lumbar curve index and height of intervertebral space is better than that of ligamentum flavum resection.
作者
李文升
冯良恩
张强
LI Wensheng;FENG Liangen;ZHANG Qiang(Department of Spinal Joint Surgery,Hezhou City Pepole's Hospital,Hezhou 542899,China)
出处
《广州医药》
2021年第4期31-34,共4页
Guangzhou Medical Journal
基金
广西壮族自治区卫生医药科研课题(Z20190527)。
关键词
椎间孔镜
黄韧带
腰椎曲度指数
椎间隙高度
Percutaneous intervertebral foramen
Ligamentum flavum
Lumbar curvature index
Disc height
