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老年退行性腰椎管狭窄症不同手术方式疗效分析 被引量:7

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摘要 目的探讨不同手术方法对老年退行性腰椎管狭窄症的疗效和临床应用。方法回顾性分析老年退行性腰椎管狭窄患者180例,分为A组(椎板切除减压术)和B组(椎板切除合并植骨融合内固定术),各90例。观察采用两种不同手术方法患者治疗前后的临床症状、治疗效果和生活质量的变化。结果两组治疗后各评分差异均有统计学意义(均<0.05);两组患者手术时间、出血量和并发症发生率差异均有统计学意义(均<0.05)。结论轻度老年退行性腰椎管狭窄行椎板切除减压术效果较好,对于重度狭窄和预计术后有出现脊柱不稳定时,首选椎板切除合并植骨融合内固定术。
机构地区 缙云县人民医院
出处 《现代实用医学》 2015年第5期645-646,668,共3页 Modern Practical Medicine
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