摘要
目的探析在腰椎管狭窄症并不稳患者中采用椎弓根螺钉置入联合双侧椎板开窗减压术治疗对腰椎功能的影响。方法选择2019年3月—2022年3月诊治的56例腰椎管狭窄并不稳患者进行回顾性分析,根据手术方式不同将其分为两组,对照组(n=28,行开放椎弓根螺钉内固定术)和观察组(n=28,行椎弓根螺钉置入+双侧椎板开窗减压术)。采用日本骨科协会评估治疗分数(JOA)、Oswestry功能障碍指数(ODI)评分评估两组术后腰椎功能,统计两组临床效果优良率。结果观察组术后6个月的JOA评分高于对照组,且ODI评分低于对照组(P<0.05);观察组临床效果优良率为92.86%,高于对照组的67.86%(P<0.05)。结论采用椎弓根螺钉置入、双侧椎板开窗减压术联合治疗腰椎狭窄症并不稳患者,可获得良好的临床效果,改善其腰椎功能。
Objective To explore the effect of pedicle screw implantation combined with bilateral laminectomy on lumbar function in patients with unstable lumbar spinal stenosis.Methods A total of 56 patients with unstable lumbar spinal stenosis diagnosed and treated from March 2019 to March 2022 were retrospectively analyzed and divided into two groups according to different surgical methods:control group(n=28,internal fixation with open pedicle screw)and observation group(n=28,pedicle screw placement+bilateral laminectomy decompression).The postoperative lumbar function of the two groups was evaluated by the Japanese Orthopedic Association(JOA)and Oswestry dysfunction index(ODI)scores,and the excellent and good rate of clinical effect of the two groups was calculated.Results The JOA score of the observation group was higher than that of the control group 6 months after operation,and the ODI score was lower than that of the control group(P<0.05).The excellent and good rate of clinical effect in the observation group was 92.86%,higher than 67.86%in the control group(P<0.05).Conclusion The treatment of patients with unstable lumbar spinal stenosis with pedicle screw insertion and bilateral laminectomy can achieve good clinical results and improve their lumbar function.
作者
王毅峰
WANG Yifeng(Department of Orthopedics,First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian,China)
出处
《外科研究与新技术》
2023年第2期89-92,共4页
Surgical Research and New Technique
