融合固定术治疗腰椎间盘突出症合并脊柱滑脱的临床效果
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摘要
目的探讨融合固定术治疗腰椎间盘突出症(LIDP)合并脊柱滑脱的临床效果。方法选取2016年8月～2018年6月我院接收的80例LIDP合并脊柱滑脱患者作为研究对象,根据治疗方法的不同分为观察组和对照组,每组各40例。对照组接受针灸、按摩、理疗等常规治疗,观察组接受融合固定术治疗。比较两组的临床治疗优良率、视觉模拟量表(VAS)评分、腰椎功能(ODI)评分及不良反应总发生率。结果观察组的治疗优良率(95.00%)高于对照组(72.50%),VAS评分[(2.58±0.82)分]和ODI评分[(19.59±5.67)分]低于对照组[(4.13±1.05)分,(31.33±6.74)分],差异均有统计学意义(P<0.05);两组的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论融合固定术在LIDP合并脊柱滑脱的治疗中效果显著,能有效减轻患者的疼痛程度,提高腰椎功能,值得临床推广应用。
Objective To explore the clinical effect of fusion fixation in the treatment of lumbar disc herniation(LIDP) combined with spondylolisthesis. Methods A total of 80 patients with LIDP complicated with spondylolisthesis in our hospital from August 2016 to June 2018 were selected as the research objects, they were divided into observation group and control group, 40 cases in each group, according to the different treatment methods. The control group received routine treatment such as acupuncture, massage and physiotherapy, while the observation group received fusion and fixation. The clinical treatment excellence rate, visual analogue scale(VAS) score, lumbar vertebral function(ODI) score and the total incidence of adverse reactions were compared between the two groups. Results The excellent and good rate of treatment in the observation group(95.00%) was higher than that in the control group(72.50%), the VAS score([2.58±0.82] points) and ODI score([19.59±5.67] points) were lower than that in the control group([4.13 ±1.05] points, [31.33±6.74] points), the differences were statistically significant(P<0.05). There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05). Conclusion Fusion fixation is effective in the treatment of LIDP combined with spondylolisthesis. It can effectively relieve pain and improve lumbar function. It is worthy of clinical application.
Objective To explore the clinical effect of fusion fixation in the treatment of lumbar disc herniation(LIDP) combined with spondylolisthesis. Methods A total of 80 patients with LIDP complicated with spondylolisthesis in our hospital from August 2016 to June 2018 were selected as the research objects, they were divided into observation group and control group, 40 cases in each group, according to the different treatment methods. The control group received routine treatment such as acupuncture, massage and physiotherapy, while the observation group received fusion and fixation. The clinical treatment excellence rate, visual analogue scale(VAS) score, lumbar vertebral function(ODI) score and the total incidence of adverse reactions were compared between the two groups. Results The excellent and good rate of treatment in the observation group(95.00%) was higher than that in the control group(72.50%), the VAS score([2.58±0.82] points) and ODI score([19.59±5.67] points) were lower than that in the control group([4.13 ±1.05] points, [31.33±6.74] points), the differences were statistically significant(P<0.05). There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05). Conclusion Fusion fixation is effective in the treatment of LIDP combined with spondylolisthesis. It can effectively relieve pain and improve lumbar function. It is worthy of clinical application.
引文
[1]柯东港.融合固定法治疗腰椎间盘突出症合并脊柱滑脱的临床疗效观察[J].长江大学学报(自科版),2016,13(18):23-25.
[2]张亚,冯虎,李健华,等.腰椎间盘摘除加cage植骨融合内固定治疗腰椎间盘突出症[J].临床骨科杂志,2016,19(2):164-166.
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[4]罗新乐,张昊,周建华,等.椎间融合器联合椎弓根螺钉内固定治疗腰椎滑脱症合并腰椎间盘突出症[J].深圳中西医结合杂志,2017,27(10):3-6.
[5]黎丹东,魏新建,李琳琳,等.椎弓根钉联合椎间融合器内固定治疗腰椎间盘突出并椎体滑脱的临床研究[J].中国骨与关节损伤杂志,2016,31(3):295-296.
[6]林利兴,刘良乐,何少奇,等.血清生物学指标在脊柱内固定融合术后感染患者中的诊断价值[J].中华医院感染学杂志,2017,27(15):3522-3524.
[7]吴群生.后路减压椎弓根钉棒系统内固定联合椎间融合器植骨融合治疗腰椎滑脱症[J].中医正骨,2016,28(11):30-33.
[8]马俊豪,王利民,赵亮,等.经皮椎间孔镜与后路椎间盘切除椎间融合钉棒内固定术治疗腰椎间盘突出症的疗效比较[J].中国实用医刊,2017,44(14):49-51.
[9]范恒俊,王涛,何欢,等.单边和双边椎弓根钉棒内固定联合椎间融合术治疗腰椎间盘突出症效果比较[J].山东医药,2016,56(16):47-49.
[10]张胜国,肖克明,赵小魁,等.手术治疗腰椎间盘突出症合并脊椎滑脱的疗效分析[J].世界临床医学,2016,10(19):87-90.
[11]寇德伟,李田米,于腾波,等.经皮脊柱内镜下椎管扩大术治疗腰椎滑脱症短期疗效分析[J].中国疼痛医学杂志,2017,23(9):702-704.
[12]曾忠友,宋永兴,吴鹏,等.通道下联合固定并椎间融合术治疗腰椎病变的早期并发症[J].中国矫形外科杂志,2016,24(17):1537-1544.
[13]汪勇刚,徐林军,胡伟,等.后正中入路腰椎间融合与脊柱骨盆平衡相关性研究[J].骨科,2016,7(2):94-97.
[14]廖梓杰,刘日新,张鸿生.腰椎间盘突出合并脊椎滑脱患者手术治疗的临床分析[J].吉林医学,2017,38(1):14-15.
[15]史国强.输注自体血与库存血对腰椎滑脱椎弓根内固定植骨融合术患者术后血清炎性因子的影响[J].深圳中西医结合杂志,2017,27(18):122-123.
[2]张亚,冯虎,李健华,等.腰椎间盘摘除加cage植骨融合内固定治疗腰椎间盘突出症[J].临床骨科杂志,2016,19(2):164-166.
[3]吴妍.融合固定法对腰椎间盘突出伴脊柱滑脱的治疗效果[J].航空航天医学杂志,2016,27(9):1121-1123.
[4]罗新乐,张昊,周建华,等.椎间融合器联合椎弓根螺钉内固定治疗腰椎滑脱症合并腰椎间盘突出症[J].深圳中西医结合杂志,2017,27(10):3-6.
[5]黎丹东,魏新建,李琳琳,等.椎弓根钉联合椎间融合器内固定治疗腰椎间盘突出并椎体滑脱的临床研究[J].中国骨与关节损伤杂志,2016,31(3):295-296.
[6]林利兴,刘良乐,何少奇,等.血清生物学指标在脊柱内固定融合术后感染患者中的诊断价值[J].中华医院感染学杂志,2017,27(15):3522-3524.
[7]吴群生.后路减压椎弓根钉棒系统内固定联合椎间融合器植骨融合治疗腰椎滑脱症[J].中医正骨,2016,28(11):30-33.
[8]马俊豪,王利民,赵亮,等.经皮椎间孔镜与后路椎间盘切除椎间融合钉棒内固定术治疗腰椎间盘突出症的疗效比较[J].中国实用医刊,2017,44(14):49-51.
[9]范恒俊,王涛,何欢,等.单边和双边椎弓根钉棒内固定联合椎间融合术治疗腰椎间盘突出症效果比较[J].山东医药,2016,56(16):47-49.
[10]张胜国,肖克明,赵小魁,等.手术治疗腰椎间盘突出症合并脊椎滑脱的疗效分析[J].世界临床医学,2016,10(19):87-90.
[11]寇德伟,李田米,于腾波,等.经皮脊柱内镜下椎管扩大术治疗腰椎滑脱症短期疗效分析[J].中国疼痛医学杂志,2017,23(9):702-704.
[12]曾忠友,宋永兴,吴鹏,等.通道下联合固定并椎间融合术治疗腰椎病变的早期并发症[J].中国矫形外科杂志,2016,24(17):1537-1544.
[13]汪勇刚,徐林军,胡伟,等.后正中入路腰椎间融合与脊柱骨盆平衡相关性研究[J].骨科,2016,7(2):94-97.
[14]廖梓杰,刘日新,张鸿生.腰椎间盘突出合并脊椎滑脱患者手术治疗的临床分析[J].吉林医学,2017,38(1):14-15.
[15]史国强.输注自体血与库存血对腰椎滑脱椎弓根内固定植骨融合术患者术后血清炎性因子的影响[J].深圳中西医结合杂志,2017,27(18):122-123.