摘要
目的探讨单侧椎弓根钉固定加单枚Cage植骨融合治疗腰椎退行性疾病的临床效果。方法选取2012-03~2015-02于该院进行治疗的腰椎退行性疾病患者30例。按随机数字表法分为观察组和对照组各15例,观察组行单侧椎弓根钉固定加单枚Cage植骨融合治疗,对照组行双侧椎弓根钉固定加单枚Cage植骨融合治疗,比较两组治疗效果。结果观察组术中出血量、手术时间以及住院天数均明显低于对照组,差异有统计学意义(P<0.01)。两组术前JOA、VAS评分比较差异无统计学意义(P>0.05),而末次随访观察组JOA评分明显高于对照组,而VAS评分则明显低于对照组,差异有统计学意义(P<0.01)。结论单侧椎弓根钉固定加单枚Cage植骨融合治疗腰椎退行性疾病疗效显著,能有效地缓解患者痛苦,安全性好,值得临床推广。
Objective To study the clinical efficacy of unilateral pedicle screw fixation combined with single Cage bone graft fusion in treatment of lumbar degenerative disease. Methods From March 2012 to February 2015, 30 patients with lumbar degenerative disease were treated in our hospital and were randomly divided into the observa- tion group and the control group, with 15 cases in each group. The observation group was treated with unilateral pedi- cle screw fixation and single Cage bone graft fusion, while the control group was treated with bilateral pedicle screw fixation and single Cage bone graft fusion. The clinical effects were compared between the two groups. Results The amount of bleeding, the operation time and the length of hospital stay in the observation group were significantly lower than those in the control group （P 〈 0. 01 ）. There were no significant differences between the two groups in the preop- erative JOA and the VAS scores （P 〉 0. 05）. The preoperative JOA of the observation group was significantly higher than that of the control group after the last follow-up, and the VAS scores of the observation group were significantly lower than those of the control group （P 〈 0.01 ）. Conclusion Unilateral pedicle screw fixation combined with single Cage bone graft fusion has significant clinical effect on the treatment of lumbar degenerative disease. It is safe and can effectively alleviate the pain of the patients.
出处
《中国临床新医学》
2017年第5期467-469,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
