Intraspine治疗单节段腰椎间盘突出症的临床疗效分析
DOI:
作者:
作者单位:

首都医科大学附属北京友谊医院

作者简介:

通讯作者:

中图分类号:

基金项目:


Clinical efficacy analysis of Intraspine treatment for single-segment lumbar disc herniation
Author:
Affiliation:

Beijing Friendship Hospital ,Capital Medical University

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的探讨Intraspine治疗单节段腰椎间盘突出症的中短期临床疗效。方法回顾性研究我院2017年8月至2019年3月采用Intraspine治疗的80例单节段腰椎间盘突出症患者。平均47.3±5.1岁。术式选用单纯开窗减压,髓核摘除,椎板间Intraspine置入。记录手术时间、术中出血量及术后并发症。同时,选用Oswestry功能障碍指数(oswestry disability index, ODI)、视觉模拟评分(visual analogues?cale, VAS)评价临床疗效。拍摄腰椎站立位的正侧位X片,测量并记录Intraspine节段的术前、术后3个月、术后1年或末次随访时的椎间孔高度、椎体后缘高度。结果本组随访12~24个月,平均15.6±5.0个月。单节段Intraspine的平均手术时间55.0±12.4min,平均出血量80±12 ml。Intraspine术后伤口感染1例,术后1年翻修1例。术后末次随访的腰痛及腿痛VAS评分、ODI 评分与术前比较,差异有统计学意义(P<0.05)。Intraspine置入节段术后3个月椎间孔高度、椎体后缘高度均大于术前,差异有统计学意义(P<0.05),术后1年或末次随访椎体椎间孔高度、后缘高度与术前比较差异有统计学意义(P<0.05)。结论椎板间动态稳定系统Intraspine治疗单节段腰椎间盘突出症的中短期随访临床疗效满意,Intraspine节段的椎间孔高度及椎体后缘高度术后短期内可获得明显的改善。

    Abstract:

    Objective To explore the short-term clinical efficacy of Intraspine in the treatment of single-segment lumbar disc herniation. Methods A retrospective study of 80 patients with single-segment lumbar disc herniation treated with Intraspine from August 2017 to March 2019 in our hospital. The average age is 67.3±5.1 years. The operation method was simple window decompression, nucleus pulposus removal, and Intraspine insertion between spinous processes. The operation time, intraoperative blood loss and postoperative complications were recorded. At the same time, the Oswestry disability index (Oswestry disability index, ODI) and visual analogue score (VAS) were used to evaluate the clinical efficacy. Take the X-rays of the lateral position of the lumbar spine and the X-rays of the hyperextension and flexion positions. Measure and record the height of the intervertebral foramen before, 3 months, 1 year, and the last follow-up of the Intraspine segment. The 姓名:张国强 职位职称:副主任医师 研究方向:骨科 脊柱外科 手机号:13810506526 电邮:zgq20102012@sina.com height of the posterior vertebral body and the range of motion of the surgical segment (ROM). Results The group was followed up for 12-24 months, with an average of 15.6±5.0 months. The average operation time of single-segment Intraspine was 55.0±12.4 minutes, and the average bleeding volume was 80±12 ml. One case of wound infection after intratraspine, and one case was repaired one year after operation. The VAS and ODI scores of low back pain and leg pain at the last postoperative follow-up were significantly different from those before the operation (P<0.05). The height of the intervertebral foramina and the height of the posterior edge of the vertebral body were greater than that of the preoperative 3 months after Intraspine implantation, and the difference was statistically significant (P<0.05). Compared with pre-operation, the difference was statistically significant (P<0.05). Conclusion Intraspine Interlaminar dynamic stabilization system for single-segment lumbar disc herniation is satisfactory in short- and medium-term follow-up. The intraforaminal height of the Intraspine segment and the height of the posterior vertebral body can be significantly improved in the short term.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-07-22
  • 最后修改日期:2020-07-22
  • 录用日期:2020-08-28
  • 在线发布日期:
  • 出版日期: