摘要
目的比较椎间盘突出症椎间融合后单侧和双侧内固定的疗效,以供临床参考。方法选择本院2009年6月～2012年6月收治的腰椎间盘突出症患者60例,均给予椎间融合术治疗。将全部患者分为两组,对照组进行双侧内固定,观察组进行单侧内固定。比较两组手术时间、住院时间、术中出血量的差异;术后随访1个月～1年,比较两组治疗前后疼痛程度的变化。结果与对照组比较,观察组手术时间、住院时间较短,术中出血量较少,差异有统计学意义(P<0.05)。术后随访1年,两组患者VAS评分较术前均有明显下降,差异有统计学意义(P<0.05)。两组间比较,差异无统计学意义(P>0.05)。结论采用椎间融合术结合椎弓根钉内固定治疗腰椎间盘突出症效果显著,其中单侧内固定法操作简便、手术创伤小,值得推广应用。
Objective To compare the curative effects of unilateral and bilateral internal fixation in the treatment of lumbar disc herniation after intervertebral fusion in order to provide clinical reference. Methods Sixty patients with lumbar disc herniation treated in our hospital from June 2009 to June 2012 were given the intervertebral infusion treatment. All the patients were divided into two groups; The control group received bilateral internal fixation and the observation group re- ceived unilateral internal fixation. The operative time, length of hospital stay and intraoperative blood loss of the two groups were compared. After one month to one year of postoperative follow-up, the changes of the degree of pain of the two groups after the treatment were compared. Results Compared to the control group, the observation group had shorter operative time, shorter hospital stay and less intraoperative blood loss, with statistically significant differences （P 〈 0.05）. After one year of postoperative follow-up, the VAS scores of both groups significantly reduced compared to those before the opera- tion, with statistically significant differences （P 〈 0.05）, but the difference was not statistically significant between the two groups （P 〉 0.05）. Conclusion Intervertebral infusion combined with pedicle screw fixation is significantly effective in the treatment of lumbar disc herniation, of which unilateral internal fixation is easily operative and less traumatic, thereby wor- thy of promotion and application.
出处
《中国当代医药》
2012年第31期64-65,共2页
China Modern Medicine
关键词
椎间盘突出症
椎间融合
单侧
双侧
内固定
Lumbar disc herniation
Intervertebral fusion
Unilateral
Bilateral
Internal fixation
