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后路减压内固定植骨治疗腰椎管狭窄的临床疗效观察 被引量:11

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摘要 [目的]探讨后路减压内固定植骨治疗腰椎管狭窄的临床疗效。[方法]回顾性分析本院2006年11月~2011年3月收治的80例腰椎管狭窄患者的临床资料,按照治疗方法的不同分为A组和B组,A组40例采用单纯后路减压治疗,B组40例采用后路减压加内固定植骨治疗,随访1~2年,比较两组患者的临床疗效。[结果]B组的优良率为85.0%显著高于A组的60.0%,P<0.05。两组患者术后腰腿痛的情况无显著性差异,P>0.05。B组的ODI评分改善、肌力恢复情况、复发、腰椎不稳的情况显著优于A组,P<0.05。B组的椎弓根内固定位置佳、无松动,植骨融合良好。[结论]后路减压内固定植骨治疗腰椎管狭窄减压彻底,可有效维持和重建脊柱的稳定,疗效满意,值得推广。
作者 吕锋
出处 《中国矫形外科杂志》 CAS CSCD 北大核心 2012年第17期1624-1625,共2页 Orthopedic Journal of China
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