| 王彦东,赵 燕,党培业,张 伟,马 琼,李耀章.单节段固定关节突峡部融合治疗年轻人轻度峡部裂腰椎滑脱的临床观察[J].,2017,17(32):6287-6290 |
| 单节段固定关节突峡部融合治疗年轻人轻度峡部裂腰椎滑脱的临床观察 |
| Observation on the Clinical Efficacy of Single Segment Fixed and Zygapophysis Fusion in the Treatment of Low Degree Spondylolisthesis for Young Person |
| 投稿时间：2017-04-14 修订日期：2017-05-10 |
| DOI：10.13241/j.cnki.pmb.2017.32.018 |
| 中文关键词: 滑脱 峡部裂 融合 临床疗效 |
| 英文关键词: Olisthe Spondylolisthesis Fusion Clinical efficacy |
| 基金项目:国家自然科学基金项目(81201633) |
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| 中文摘要: |
| 摘要 目的：介绍和分析单节段固定关节突峡部融合治疗年轻人轻度峡部裂腰椎滑脱的临床应用。方法：对2010.01-2016.01来我院就诊，诊断为峡部裂伴轻度腰椎滑脱的共计46例青年患者（<30岁），采用单节段固定结合关节突峡部融合的方法进行治疗。分析包括患者术前与术后3月、6月及12月VAS（Visual Analogue Scale）疼痛评分，Lehmann腰椎功能评分等功能恢复指标的比较及融合率、并发症等临床观察指标的总结。结果：所有患者均至少接受12个月的术后随访，患者在术后（3，6，12月）的VAS评分及Macnab评分较术前均有显著改善和提高(P<0.05)。影像资料显示：未出现不融合现象。1例患者出现皮肤浅层感染，处理后好转，余无明显并发症出现。结论：对于年轻人的轻度峡部裂伴腰椎滑脱患者，使用单节段固定结合关节突峡部融合的方法具有较好的疗效，且对后期影响较小。 |
| 英文摘要: |
| ABSTRACT Objective: To introduce and evaluate the clinical outcomes of single segment fixed and zygapophysis fusion in the treatment of low degree spondylolisthesis for young person. Methods: 46 patients who were admitted in our hospital from 2010.01 to 2016.01 and diagnosed as low degree spondylolisthesis were cured by single segment fixed and zygapophysis fusion were evaluated by visual analogue scale (VAS), X ray or MRI and the Lehmann Lumbar function score. Results: All patients were followed up at least 12 months after the operation. The results of postoperative (3,6,12 months after the operation) VAS and Lehmann score were obviously improved compared with preoperative evaluation (P<0.05). There was no bone graft non fusion in any of the patients during follow-up on X-ray or MRI assessment. 1 patient had shallow skin infection which was better after curing and no other complication was shown. Conclusion: Using single segment fixed and zygapophysis fusion curing low degree spondylolisthesis of young person could effectivly cure pain and long-term complication. |
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