两种椎间植骨融合方式治疗腰椎滑脱的临床分析

Clinical Analysis of Two Kinds of Intervertebral Fusion Methods for the Treatment of Lumbar Spondylolisthesis

目的研究两种椎间植骨融合方式治疗腰椎滑脱的临床效果。方法选取我院于2016年6月—2017年6月收治的80例腰椎滑脱患者作为研究对象。将其随机分为对照组和观察组,每组各40例;对照组给予椎间融合器融合,观察组给予自体骨植骨融合;治疗干预后,观察两组患者的手术时间、术中出血量及日本骨科协会评估治疗(JOA)评分。结果观察组患者的手术时间及术中出血量方面均低于对照组,差异均具有统计学意义(P<0.05);两组患者术前、术后JOA评分对比,差异无统计学意义(P>0.05)。结论不同椎间植骨融合方式治疗腰椎滑脱具有不同特点,使用自体骨植骨融合在手术时间、术中出血量均优于椎间融合器融合方法,但是两种方法均能够有效治疗腰椎滑脱,在应用时需要根据患者情况选择合适椎间植骨融合方法。

Objective To study the clinical effect of two kinds of underbody fusion methods in the treatment of lumbar spondylolisthesis. Methods 80 cases of lumbar spondylolisthesis treated in our hospital from June 2016 to June 2017 were selected as the research objects.They were randomly divided into the control group and the observation group, with 40 cases in each group. The control group was given the fusion of the interbody fusion cage. The observation group was given autogenous bone graft fusion.After treatment, the operation time of the two groups, the rate of intraoperative bleeding and the assessment of the department of orthopedics Association of Japan（JOA） were observed. Results The time of operation and the amount of bleeding in the observation group were lower than those in the control group, and the difference was statistically significant（P 〈0.05）.There was no significant difference of the JOA score between the two groups before and after operation（P 〉0.05）. Conclusion The treatment of lumbar spondylolisthesis with different methods of interbody fusion has different characteristics. The use of autologous bone graft fusion in operation time and intraoperative blood loss are superior to the fusion method of lumbar interbody fusion, but both methods can effectively treat lumbar spondylolisthesis. It＇s necessary to select the appropriate interbody fusion method according to the patient＇s condition.