分析短节段和长节段固定融合术治疗脊柱退行性侧弯的疗效

Analysis of the Efficacy of Short Segment and Long Segment Fixation Fusion in the Treatment of Spinal Degenerative Scoliosis

目的研究短节段和长节段固定融合术治疗脊柱退行性侧弯的治疗效果。方法该次研究方便选取该院2016年9月—2018年9月收治的56例脊柱退行性侧弯患者作为研究对象,将所选患者随机分为对照组28例,使用短节段固定融合术进行治疗,另外28例患者作为观察组,使用长节段固定融合术进行治疗,比较2组患者临床治疗效果。结果手术后相关临床指征差异性比较:经过治疗后,观察组患者手术时间、术中出血量以及术后住院时间(237.69±33.01)min、(2 045.36±103.65)mL、(22.36±7.98)d均显著高于对照组患者(200.13±22.69)min、(2 000.31±89.65)mL、(16.32±5.14)d,(P<0.05);观察组患者VAS评分(3.31±1.25)分高于对照组患者(2.94±1.10)分(t=8.120,P<0.05);DOI评分低于对照组患者;观察组患者治疗2年后,后凸及侧凸Cobb角(16.32±3.66)°,(18.67±2.35)°,小于对照组(20.34±3.64)°,(22.94±2.64)°,(t=9.010,8.120,P<0.05),Cobb角矫正率高于对照组;差异有统计学意义(P<0.05)。结论治疗脊柱退行性侧弯患者,两种治疗措施均起到治疗效果,但是使用长节段固定融合术改善患者Cobb角效果显著,值得在临床上进行推广使用。

Objective To study the therapeutic effect of short segment and long segment fixation fusion in the treatment of degenerative scoliosis of the spine. Methods A total of 56 patients with degenerative scoliosis who were admitted to our hospital from September 2016 to September 2018 were convenient enrolled in the study. The selected patients were ran-domly divided into the control group (n=28), using short-segment fixation treatment, another 28 patients as the observation group, using long-segment fixation fusion treatment, comparing the clinical treatment effect of the two groups of patients. Results The differences in clinical indications after surgery: after treatment, the operation time, intraoperative blood loss and postoperative hospital stay (237.69±33.01)min,(2 045.36±103.65)mL,(22.36±7.98)d were significantly higher than the control group (200.13±22.69)min,(2 000.31±89.65)mL,(16.32±5.14)d,(P<0.05). The VAS score of the observation group was (3.31±1.25)points, which was higher than that of the control group (2.94±1.10)points (t=8.120, P<0.05);DOI score was lower than that of the control group;after 2 years of treatment, the Cobb angle of kyphosis and scoliosis was (16.32±3.66)°,(18.67±2.35)°, which was smaller than the control group (20.34±3.64)°,(22.94±2.64)°,(t=9.010, 8.120, P<0.05), the Cobb angle correction rate was higher than the control group;the difference was statistically significant (P<0.05). Conclusion Both treatments have therapeutic effects in the treatment of patients with degenerative scoliosis. However, the use of longsegment fixation for the improvement of Cobb angle is significant and worthy of clinical use.