腰椎动态固定在青年腰椎间盘突出患者的疗效分析

Therapeutic Effect of Lumbar Spine Dynamic Fixation in Young Patients with Lumbar Disc Herniation

目的探讨腰椎动态固定治疗青年腰椎间盘突出症的临床疗效。方法该研究共将2014年8月—2016年12月在该院接受治疗的60例青年腰椎间盘突出症患者随机的分为对照组和治疗组,各30例,采用直视微创摘除术方法对对照组进行治疗,而治疗组采用棘突间动态固定系统治疗。结果治疗组手术时间(110.5±17.3)min、术中出血量(176.5±20.1)mL;对照组手术时间(113.2±14.8)min、术中出血量(83.8±19.7)mL,两组患者手术时间与术中出血量比较,差异无统计学意义(t=0.69、1.531,P>0.05)。分别于两组患者前和术后计算其JOA评分改善情况,并进行组间对比,术前治疗组与对照组分别为(58.2±19.3)%、(54.1±17.6)%,术后治疗组与对照组分别为(87.1±10.2)%、(65.4±16.6)%,两组术前的JOA评分改善率差异无统计学意义(t=0.925,P>0.05);但术后治疗组的改善率显著优于对照组,差异有统计学意义(t=5.668,P<0.05)。分别于两组患者前和术后计算其ODI评分改善情况,并进行组间对比,术前治疗组与对照组分别为(88.2±15.3)%、(87.1±18.3)%,术后分别为(27.1±11.2)%、(27.1±11.2)%。两组术前的ODI评分改善率差异无统计学意义(t=0.879,P>0.05);但术后治疗组的改善率显著优于对照组,差异有统计学意义(t=4.651,P<0.05)。结论棘突间动态固定系统疗法治疗青年单节段腰椎间盘突岀症术后患者腰椎功能恢复良好,是治疗青年腰椎间盘突出的有效手段。

Objective To investigate the clinical efficacy of lumbar spine dynamic fixation in the treatment of lumbar disc herniation in young adults. Methods A total of 60 young patients with lumbar disc herniation who were treated in the hospital from August 2014 to December 2016 were randomly divided into the control group and the treatment group,each with 30 case. The direct control minimally invasive surgery was used to control the control group. While the treatment group was treated with an interspinous dynamic fixation system. Results In the treatment group, the operation time was （110.5±17.3）min and the intraoperative blood loss was （176.5±20.1）mL. The operation time of the control group was （113.2±14.8）min and the intraoperative blood loss was （183.8±19.7）mL. There was no statistical difference compared with intraoperative blood loss （t=0.69, 1.531, P〉0.05）. The improvement of JOA score was calculated before and after the two groups of patients, and the comparison between the two groups was （58.2±19.3）% and （54.1±17.6）%, respectively. The postoperative treatment group and the control group were respectively （87.1±10.2）%, （65.4±16.6）%, there was no significant difference in the improvement rate of JOA scores between the two groups （t=0.925, P〉0.05）. However, the improvement rate of the postoperative treatment group was significantly better than that of the control group. Academic significance （t=5.668, P〈0.05）. The improvement of ODI score was calculated before and after the two groups, and the comparison between the two groups was （88.2±15.3）%, （87.1±18.3）%, and （27.1±11.2）%, （27.1 ± 11.2）% after operation. There was no significant difference in the improvement rate of ODI scores between the two groups （t=0.879, P〉0.05）. However, the improvement rate of the postoperative treatment group was significantly better than that of the control group, the difference was statistically significant （t=4.651, P〈0.05）. Conclusion The interspinous dynamic fixation system therapy is effective in the treatment of lumbar disc herniation in young patients with single-segment lumbar disc herniation. It is an effective method for the treatment of lumbar disc herniation in young adults.