[1]辛龙 俞雷钧△ 徐卫星 王健 宋红浦 刘建 杨洋 刘宏 范顺武.后路减压融合内固定结合人工椎板成形术治疗老年退行性腰椎管狭窄症的早期疗效分析[J].中国中医骨伤科杂志,2019,27(04):53-55+58.
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后路减压融合内固定结合人工椎板成形术治疗老年退行性腰椎管狭窄症的早期疗效分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年04期
页码:
53-55+58
栏目:
临床报道
出版日期:
2019-04-12

文章信息/Info

文章编号:
1005-0205(2019)04-0053-03
作者:
辛龙1 俞雷钧1△ 徐卫星1 王健1 宋红浦1 刘建1 杨洋1 刘宏1 范顺武2
1浙江省立同德医院骨科(杭州,310012) 2浙江大学附属邵逸夫医院骨科
关键词:
退行性腰椎管狭窄症 椎板切除减压术 人工椎板成形术
分类号:
R681.5
文献标志码:
B
摘要:
目的:探讨后路减压融合内固定结合人工椎板成形术治疗老年退行性腰椎管狭窄症的临床疗效。方法:对本院自2012年1月至2017年6月期间收治的29例老年退行性腰椎管狭窄症患者采用后路减压融合内固定结合纳米羟基磷灰石(n-HA/PA66)人工椎板成形术进行治疗,观察手术时间、术中出血量、术后引流量、住院时间及并发症等指标变化。对患者术前、术后及末次随访时VAS和JOA评分等情况进行评估。结果:29例均获得随访随活,时间13~49(28.4±1.2)个月。手术时间79~157(121.0±3.5)min,术中出血量110~210(167.0±7.2)mL,术后引流量70~130(114.0±4.3)mL,住院时间10~16(14.2±1.1)d.术后3个月、6个月及末次随访时患者术后下肢痛VAS和JOA 评分均优于术前,差异有统计学意义(P<0.05)。末次随访时JOA评分(18.41±0.27)分,优24例,良3例,可1例,差1例,优良率为93.10%.全部病例未发生严重术后并发症。结论:采用后路减压融合内固定结合人工椎板成形术治疗老年退行性腰椎管狭窄症早期临床疗效良好,椎管减压彻底,对脊柱稳定性影响小,术后疼痛轻,恢复快,在预防椎管内瘢痕形成及医源性再狭窄具有明显的临床优势,值得临床推广。

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备注/Memo

备注/Memo:
基金项目:浙江省中医药科技计划项目(2019ZB029,2019ZB027,2019ZA026) 通信作者 E-mail:yjx6206095@126.com
更新日期/Last Update: 2019-04-12