椎间融合器植骨融合治疗腰椎管狭窄症合并腰椎失稳的临床价值探究

The Clinical Value of Interbody Fusion with Interbody Fusion Cage in the Treatment of Lumbar Spinal Stenosis Combined with Lumbar Instability

目的探究椎间融合器植骨融合治疗腰椎管狭窄症合并腰椎失稳的临床疗效。方法选取2014年12月至2016年12月在该院住院治疗的120例患有腰椎管狭窄症合并腰椎失稳的患者,随机分为观察组和对照组各60例。观察组给予椎间融合器植骨融合治疗,对照组给予传统椎手术治疗。分析患者不同治疗手段后临床疗效。结果观察组患者手术时间、出血量、切口长度均低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05);观察组总有效率为95.0%,对照组总有效率为80.0%,两组比较差异具有统计学意义(P<0.05)。结论椎间融合器植骨融合治疗腰椎管狭窄症合并腰椎失稳的临床疗效满意,不良反应少,能够有效减少手术创伤,值得临床应用。

Objective To investigate the clinical effect of interbody fusion with interbody fusion cage in the treatment of lumbar spinal stenosis combined with lumbar instability. Methods From December 2014 to December 2016, 120 patients with lumbar spinal stenosis combined with lumbar instability were randomly divided into the observation group and the control group, each with 60 cases. The patients in the observation group were treated by intervertebral fusion and bone graft fusion, while the control group was treated with traditional vertebral surgery. The clinical efficacy of different treatment methods was analyzed. Results In the observation group, operation time, blood loss, length of incision were lower than the control group, the difference was statistically significant(P<0.05); the incidence of adverse reactions than the control group, the difference was statistically significant(P<0.05); the total efficiency of the observation group was 95%, control group total effective rate was 80%, the difference was statistically significant the two group(P<0.05). Conclusion Interbody fusion with interbody fusion cage for lumbar spinal stenosis combined with lumbar instability is satisfactory and has less adverse reactions. It can effectively reduce surgical trauma and is worthy of clinical application.