[1]冯华龙 何升华△ 赖居易 蓝志明.简易提拉复位系统治疗腰椎滑脱症40例[J].中国中医骨伤科杂志,2022,30(03):48-52.
　FENG Hualong HE Shenghua LAI Juyi LAN Zhiming.40 Cases of Simple Lifting Reduction System to Treat Lumbar Spondylolisthesis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(03):48-52.
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简易提拉复位系统治疗腰椎滑脱症40例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年03期
页码:
48-52
栏目:
临床报道
出版日期:
2022-03-15

文章信息/Info

Title:
40 Cases of Simple Lifting Reduction System to Treat Lumbar Spondylolisthesis
文章编号:
1005-0205(2022)03-0048-05
作者:
冯华龙1 何升华1△ 赖居易1 蓝志明1
1广东深圳市中医院骨科(广东 深圳,518033)
Author(s):
FENG Hualong1 HE Shenghua1△ LAI Juyi1 LAN Zhiming1
1Departmeat of Orthopedics,Shenzhen Hospital of Traditional Chinese Medicine,Shenzhen 518033, Guangdong China.
关键词:
简易提拉复位系统;  腰椎滑脱;  滑脱复位率
Keywords:
simple lifting reduction system;  lumbar spondylolisthesis;  spondylolisthesis reduction rate
分类号:
R681.5
文献标志码:
B
摘要:
目的:回顾分析采用简易提拉复位系统治疗腰椎滑脱症的病例,总结影响提拉复位效果及术后疗效的相关因素,验证简易提拉复位系统治疗腰椎滑脱症的有效性。方法:收集2016年6月至2020年7月诊断为腰椎滑脱症病例40例,均采用简易提拉复位系统手术治疗,统计患者年龄、性别、症状持续时间、腰椎滑脱Meyerding分级及其例数,骨质疏松Jikei分级及其例数,记录术中滑椎拔钉数、滑脱椎体复位程度,末次随访的MacNab评分来评价手术临床疗效,记录术前、术后7 d、末次随访腰背痛VAS评分及下肢痛VAS评分、下腰痛JOA评分、腰椎滑移距离等。结果:40例患者均顺利完成手术,2例术后3 d发生肌间静脉血栓,1例出现脑脊液漏,无其他严重并发症。随着时间的推移,腰背痛VAS评分及下肢痛VAS评分显著降低,差异有统计学意义(P<0.05); 下腰痛JOA评分显著升高,差异有统计学意义(P<0.05)。影像学检查显示术后滑椎滑移距离较术前显著减少,差异有统计学意义(P<0.05),平均滑脱复位率高达96.12%+2.31%。结论:简易提拉复位系统对于腰椎滑脱具有很好的复位效果,滑脱复位率高,拔钉率低,是一种临床使用方便且安全有效的滑脱复位手术方式,值得临床推广应用。
Abstract:
Objective:To retrospectively analyze the cases of lumbar spondylolisthesis treated by simple lifting reduction system,to summarize the related factors that affect the efficacy of lifting reduction and postoperative curative efficacy, and to verify the effectiveness of the simple lifting reduction system in treating lumbar spondylolisthesis. Methods:40 cases of lumbar spondylolisthesis diagnosed from June 2016 to July 2020 were collected. All patients were treated by simple lifting reduction system. The age, gender, duration of symptoms, Meyerding classification of lumbar spondylolisthesis and its cases and osteoporosis Jikei classification and its cases were counted. The number of spondylolisthesis nails during the operation, the degree of spondylolisthesis vertebral body reduction were recorded. The MacNab score at the last follow-up were recorded to evaluate the clinical efficacy of the operation. The low back pain before the operation, 7 d after the operation, and the last follow-up VAS score, lower limb pain VAS score, lower back pain JOA score, lumbar slip distance were recorded. Results:All 40 patients underwent the operation successfully,2 patients developed intermuscular venous thrombosis 3 d after operation, and 1 patient developed cerebrospinal fluid leakage without other serious complications. With the passage of time, the VAS score for low back pain and lower limb pain decreased significantly(P<0.05), and the JOA score for low back pain increased significantly(P<0.05). The imaging studies showed that the sliding distance of the spondylolisthesis after operation was significantly reduced compared with that before operation(P<0.05), and the average reduction rate of spondylolisthesis was as high as(96.12%+2.31%). Conclusion:The simple lifting reduction system on the treatment of lumbar spondylolisthesis has a good reduction efficacy, high reduction rate of spondylolisthesis and a low rate of nail pullout, and it is a convenient, safety and effective method for reduction of spondylolisthesis clinically, which is worthy of clinical application.

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更新日期/Last Update: 1900-01-01