摘要
目的探讨TLIF治疗老年多节段腰椎间盘突出并椎管狭窄症的疗效。方法选取我院2015年1月—2017年1月收治的88例老年多节段腰椎间盘突出并椎管狭窄症患者作为研究对象。观察组44例患者采用TLIF治疗,对照组44例患者采用椎板间开窗髓核摘除术治疗,对比两组患者临床疗效及治疗后Oswestry功能障碍指数(ODI)、腰痛评分(JOA)。结果观察组临床治疗优良率高于对照组,差异具有统计学意义(P<0.05)。观察组ODI指数及腰痛JOA评分优于对照组,差异具有统计学意义(P<0.05)。结论 TLIF治疗老年多节段腰椎间盘突出并椎管狭窄症的疗效显著,可有效缓解腰部疼痛,恢复腰部功能。
Objective To investigate the effcacy of TLIF in the treatment of multisegmental lumbar intervertebral disc herniation and spinal stenosis in the elderly. Methods 88 elderly patients with multiple segmental lumbar disc herniation and spinal stenosis were selected in our hospital from January 2015 to January 2017. 44 patients in the observation group were treated with TLIF. In the control group, 44 patients were treated by interlaminar fenestration and nucleus pulposus removal. The clinical efficacy and Oswestry disability index （ODI） and low back pain score （JOA） were compared between the two groups. Results The good rate of clinical treatment in the observation group was signifcantly higher than that of the control group. The difference was statistically signifcant （P〈0.05）. The ODI index of the observation group and the JOA score of low back pain were significantly better than those in the control group, and the difference was statistically signifcant （P〈0.05）. Conclusion TLIF is effective in the treatment of elderly patients with multilevel lumbar disc herniation and spinal stenosis, and it can effectively relieve waist pain and restore waist function.
作者
汪勤
WANG Qin(The Second Department of Orthopedics,Daye City Hospital of Traditional Chinese Medicine of Hubei Province,Daye Hubei 435100,China)
出处
《中国继续医学教育》
2018年第22期89-90,共2页
China Continuing Medical Education
关键词
TLIF
老年
多节段
腰椎间盘突
椎管狭窄
骨科
TLIF
old age
multisegmental
lumbar intervertebral disc
spinal canal stenosis
orthopaedics
