摘要
目的:对Cage椎间植骨融合术在退变性腰椎滑脱患者中的疗效观察。方法:选取退变性腰椎滑脱患者128例,按随机数字表分为研究组和对照组,对照组选取滑椎复位、单一的后外侧横突间植骨融合内固定术进行治疗,研究组采取滑椎复位Cage椎体间植骨融合内固定术进行治疗。比较两组椎间距高度、并发症发生率和生命质量(QOL)评分。结果:对照组治疗前后的椎间距高度差:治疗后一个月为(12.3±0.41)mm与研究组(12.1±0.6)mm相比无明显差异(P>0.05)、对照组治疗前后的椎间距高度差:治疗后4个月为(11.3±0.3)mm、6个月为(10.3±0.2)mm、12个月为(11.3±0.2)mm和24个月(10.1±0.1)mm均明显低于研究组患者治疗后4个月(12.3±0.5)mm、6个月(12.1±0.6)mm、12个月(12.3±0.5)mm和24个月(12.1±0.3)mm(P<0.05);治疗后,研究组患者的QOL评分:身体状况评分为(89.3±3.5)、行为评分为(85.3±5.8)、自评生活质量评分为(85.89±6.3)和社会活动评分为(89.3±4.9)明显高于对照组患者身体状况评分(78.2±2.4)、行为评分(71.6±2.9)、自评生活质量评分(70.5±3.2)和社会活动评分(65.4±3.7)(P<0.05);对照组患者并发症发生率为23.5%高于研究组患者4.7%(P<0.05)。结论:滑椎复位cage椎体间植骨融合内固定术治疗退变性腰椎滑脱疗效显著,能促进植骨融合,并发症少,患者满意度高。
Objective To observe the effect of Cage interbody fusion on degenerative lumbar spondylolis thesis. Methods Totally 128 patients with degenerative lumbar spondylolisthesis were selected and divided into study group and control group according to the random number table. The patients in control group were treated with vertebral reduction and single posterolateral transverse interbody fusion and internal fixation. The patients in study group were treated with vertebral reduction. The Cage interbody fusion and internal fixation was used for treatment. The height of intervertebral space, complication rate and quality of life(QOL) scores were compared between the two groups. Results The height difference of the intervertebral space before and after treatment in the control group was(12.3±0.41) mm one month after treatment, which was not significantly different from the study group(12.1 ±0.6) mm(P >0.05). The height differences of the intervertebral space before and after treatment in the control group were(11.3±0.3) mm after 4 months,(10.3±0.2) mm after6 months,(11.3±0.2) mm after 12 months and(10.1±0.1) mm after 24 months, which were significantly higher than those in the study group [(12.3 ± 0.5) mm,(12.1 ± 0.6) mm,(12.3 ± 0.5) mm and(12.1 ±0.3) mm, P<0.05]. After treatment, the QOL scores of study group were(89.3±3.5) for the physical condition,(85.3±5.8) for the behavioral score,(85.89±6.3) for the self-assessed quality of life score, and(89.3±4.9)for the social activity score, which were significantly higher than the physical condition score of the control group( 78. 2 ± 2. 4). The score was( 71. 6 ± 2. 9),the self-assessed quality of life score was(70.5±3.2), and the social activity score was(65.4±3.7)(P<0.05).The complication rate in the control group was 23.5%, which was higher than that in the study group(4.7%,P<0.05). Conclusion Radial reduction and Cage interbody fusion and internal fixation for the treatment of degenerative lumbar spondylolisthesis are effective, and can promote bone graft fusion, less complications and high patient satisfaction.
作者
徐修磊
邓永发
宋杰
XU Xiu-lei;DENG Yong-fa;SONG Jie(Department of Orthopaedics, Alar Hospital of First Division of Xinjiang Corps, Alar (843300), China)
出处
《中国中西医结合外科杂志》
CAS
2019年第4期534-537,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
