椎间融合器植骨融合结合椎弓根螺钉内固定治疗腰椎管狭窄的效果分析

目的 探讨椎间融合器植骨融合结合椎弓根螺钉内固定治疗腰椎管狭窄的效果。 方法 2011年8月—2015年2月,选择在北京市海淀医院诊治的腰椎管狭窄患者130例,根据随机数字表法分为治疗组与对照组各65例,对照组给予常规椎管成形术治疗,治疗组给予椎间融合器植骨融合结合椎弓根螺钉内固定治疗。 结果 所有患者均顺利完成手术,治疗组的术中出血量、手术时间、术后住院时间明显少于对照组(P<0.05)。治疗组术后3个月的肺部感染、切口感染、椎间不稳定、血管损伤分别为1例、0例、1例、1例,对照组的例数分别为4例、5例、6例、7例,治疗组术后3个月并发症发生情况明显少于对照组(P<0.05)。治疗组术后3个月的疗效优良率为93.8%,明显高于对照组的84.6%,治疗组与对照组的组间对比差异明显(P<0.05)。 结论 椎间融合器植骨融合结合椎弓根螺钉内固定治疗腰椎管狭窄可提供坚强内固定,具有更好的有效性与安全性,有利于腰椎功能的恢复。 

Effects of lumbar interbody fusion combined pedicle screw fixation in the treatment of lumbar spinal stenosis

Objective To investigate the effects of interbody fusion combined fusion fixation pedicle screw in the treatment of spinal stenosis. Methods A prospective study was carried out among 130 spinal stenosis patients in our hospital from August, 2011 to February, 2015. The patients were randomly divided into the treatment group and the control group with 65 cases in each group. The control group received conventional treatment of spinal arthroplasty, while the treatment group received lumbar interbody fusion combined pedicle screw fixation. Results All patients were successfully operated. The operative time, blood loss and postoperative hospital stay in the treatment group were significantly less than those in the control group (P < 0. 05). The postoperative three months of pulmonary infection, incision infection, intervertebral instability and vascular injury in the treatment group were 1 case, 0 case, 1 case, 1 case, so that were 4 cases, 5 cases, 6 cases, 7 cases in the control group, the treatment was significantly less than the control group (P < 0. 05). The postoperative (three months after operation) excellent rates in the treatment group were 93. 8%, and in the control group was 84. 6%, the excellent rate of the treatment group was significantly higher (P < 0. 05). Conclusion The lumbar interbody fusion combined pedicle screw fixation in the treatment of lumber spinal stenosis can provide strong fixation, with better efficacy and safety, thus contributes to the function of the lumbar spine recovery.