不同手术方法治疗腰椎滑脱合并腰椎管狭窄的临床疗效对比

Comparison of Different Surgical Methods in the Treatment of Lumbar Spondylolisthesis with Lumbar Spinal Stenosis

目的比较分析采用两种不同手术方式对合并腰椎管狭窄的腰椎滑脱疾病患者实施治疗的临床效果。方法抽取过去一段时间内江西省信丰县人民医院收治的88例合并腰椎管狭窄的腰椎滑脱疾病患者,采用随机分组方式将其分为对照组和治疗组,平均每组44例。对照组采用颈后路之间融合术进行治疗;治疗组采用改良的颈椎间孔椎间融合术进行治疗。结果治疗组患者在手术治疗前后VAS评分的改善幅度大于对照组;腰椎滑脱合并腰椎管狭窄疾病手术治疗及格率达到90.9%,高于对照组的70.5%;围术期仅有1例出现不良反应,少于对照组的8例。结论合并腰椎管狭窄的腰椎滑脱疾病患者采用改良的颈椎间孔椎间融合术进行治疗,可以有效控制疼痛,减少不良反应,缩短治疗时间。

Objective To compare the clinical effect of two different surgical methods in the treatment of lumbar spondylolisthesis with lumbar spinal stenosis. Methods A total of 88 patients with lumbar spondylolisthesis were randomly divided into control group and treatment group, with an average of 44 cases in each group. The control group was treated with posterior cervical fusion, while the treatment group was treated with modified transforaminal lumbar interbody fusion. Results Patients in the control group before and after surgery in the improvement of VAS score greater than treatment ; lumbar spondylolisthesis and lumbar spinal stenosis disease surgery pass rate reached 90. 9 % , 70. 5 % higher than the control group in the perioperative p erio d; only 1 cases of adverse reactions, less than 8 of the patients in the control group. Conclusion The treatment of lumbar spondylolisthesis with lumbar spinal stenosis can improve the p a in reduce the adverse reaction and shorten the treatment time