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后路减压联合不同融合节段固定治疗退变性脊柱侧凸患者的效果比较

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摘要 目的:比较后路减压联合短节段固定融合术与长节段固定融合术治疗退变性脊柱侧凸(DS)患者的效果。方法:选取80例DS患者作为研究对象,依据随机数字表法将其分为对照组和观察组各40例,对照组行后路减压联合短节段固定融合术,观察组行后路减压联合长节段固定融合术,比较两组手术指标水平、疼痛程度、功能障碍程度、脊柱侧凸Cobb角值和术后并发症发生率。结果:观察组手术时间和住院时间均明显长于对照组,术中出血量和融合节段数均明显多于对照组,差异有统计学意义(P<0.05);治疗后,观察组视觉模拟评分法评分明显高于对照组,Oswestry功能障碍指数问卷表评分及脊柱侧凸Cobb角值均明显低于对照组,差异均有统计学意义(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:后路减压联合长节段固定融合术治疗退变性脊柱侧凸患者可降低脊柱功能障碍评分,减小脊柱侧凸Cobb角值,而后路减压联合短节段固定融合术治疗退变性脊柱侧凸患者可缩短手术时间和住院时间,减少术中出血量和融合节段数,降低疼痛评分。
出处 《中国民康医学》 2020年第13期137-139,共3页 Medical Journal of Chinese People’s Health
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