双侧椎弓根内固定髓核摘除椎间融合器植骨融合术治疗腰椎间盘突出症的治疗体会

目的：探讨双侧椎弓根内固定髓核摘除锥间融合器植骨融合术治疗腰椎间盘突出症的临床疗效。方法方便选取2011年7月—2016年1月该院收治的55例腰间盘突出症患者为研究对象,全部患者均以双侧椎弓根内固定髓核摘除锥间融合器植骨融合术进行治疗。记录患者基本手术指标,治疗前后以VAS和ODI对患者腰腿疼痛及腰椎功能改善情况进行评估,观察患者术后并发症。结果患者平均手术时间(80.64±13.51)min,平均术中出血量(260.8±39.4)mL,并发症发生率1.82%(54/55)；患者术后VAS评分(1.76±0.43)分,DOI评分(14.15±6.33)分,两项指标均优于治疗前,差异有统计学意义(P﹤0.05)。结论双侧椎弓根内固定髓核摘除锥间融合器植骨融合术治疗腰椎间盘突出症,临床疗效确切,可有效改善患者腰腿疼痛及腰椎功能障碍,且术后并发症少,应用安全有效,值得临床推广。

Bilateral Pedicle Internal Fixation Removal of Nucleus Pulposus Interverte-bral Fusion with Bone Graft Fusion Therapy in the Treatment of Lumbar Disc Prolapse

Objective To investigate the clinical efficacy of bilateral pedicle screw internal fixation in the treatment of lum-bar disc herniation. Methods Convenient selection July 2011 — January 2016 in our hospital from 55 cases of lumbar disc herniation patients as the object of study, all patients with bilateral pedicle fixed nucleus pulposus removed intervertebral fusion with bone graft treatment. Recorded the patient operation index, before and after the treatment by VAS and ODI of patients with lumbocrural pain and lumbar function improvement are evaluated, postoperative complications were observed. Results Patients with an average operative time (80.64±13.51) min, average intraoperative bleeding volume(260.8±39.4)mL, the complication rate of 1.82% 54/55; postoperative VAS score(1.76±0.43)points, DOI score(14.15±6.33)points, two indica-tors are better than before treatment, the differences have statistical significance (P< 0.05). Conclusion Bilateral pedicle fixed nucleus pulposus removal of intervertebral fusion cage bone fusion for the treatment of lumbar disc herniation and clinical curative effect, effectively improve the patients with lumbocrural pain and lumbar dysfunction and less postoperative complications, application security effective and is worthy to be popularized.