| 田德洲 朱强 董永军 唐韬 吴生贵 李全春 胡国良 强京灵 李泽新.微创腰椎后路减压融合术与传统全椎板切除术治疗老年腰椎管狭窄的疗效对比分析[J].现代生物医学进展英文版,2014,14(32):6288-6291. |
| 微创腰椎后路减压融合术与传统全椎板切除术治疗老年腰椎管狭窄的疗效对比分析 |
| Comparative Analysis on Curative Effect of Minimally Invasive PosteriorLumbar Decompression and Fusion and Traditional Total Laminectomy forElderly Lumbar Spinal Stenosis |
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| DOI： |
| 中文关键词: 腰椎管狭窄 微创腰椎后路减压融合术 全椎板切除术 疗效比较 |
| 英文关键词: Lumbar spinal stenosis Minimally invasive posterior lumbar decompression and fusion Total laminectomy Efficacy
comparison |
| 基金项目: |
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| 中文摘要: |
| 目的：对老年腰椎管狭窄的两种治疗方式，微创腰椎后路减压融合术和传统全椎板切除术的治疗疗效进行比较，以及研究
其临床应用价值。方法：选取2009 年7 月至2013 年1 月来我院治疗的76 例老年腰椎管狭窄症患者，其中43 例采用微创腰椎后
路减压融合术（A 组），33 例患者接受全椎板切除手术（B 组）。对所有患者进行术后随访6 个月~2年，平均随访时间1 年零7个
月。比较分析两组的手术情况、术后不良反应发生率及JOA评分情况。结果：A组的患者手术切口小，术中出血量少及住院时间缩
短，并且较B 组差异有统计学意义（P<0.05）；两组患者发生不良反应的情况差异无统计学意义（P＞0.05）；A 组患者的JOA 评分
明显优于B组患者，说明A 组疗效优于B 组。结论：老年腰椎管狭窄患者采用微创腰椎后路减压融合手术方法创口小，术中出血
量少，降低术后不良反应发生的风险，疗效明显，值得推广应用。 |
| 英文摘要: |
| Objective:To compare the curative effect of minimally invasive posterior lumbar decompression and fusion and
traditional total laminectomy for elderly lumbar spinal stenosis, and to study its clinical application value.Methods:76 cases of elderly
patients with lumbar spinal stenosis treated in hospital from July 2009 to January 2013 were selected, 43 patients were treated with
minimally invasive posterior lumbar decompression and fusion (group A), 33 patients underwent the traditional total laminectomy (group
B).All patients were followed up for 6 months ~2 years (average 1 year and 7 months). Operation situation, the postoperative incidence of
adverse reactions and JOA score of the two groups were compared and analysed.Results:Group A presented smaller operation incision,
less bleeding and shorter hospital stay, and the differences were statistically significant compared with the groupB (P<0.05); There was
no statistically significant difference in adverse reactions between the two groups (P>0.05); The JOA score of group A was significantly
higher than that of group B, wihch showed the effect of group A was better than group B.Conclusion:Minimally invasive posterior
lumbar decompression and fusion has obvious curative effect in elderly patients with lumbar spinal stenosis for smaller operation incision,
less bleeding reduce risk, and smaller risk of postoperative incidence of adverse reactions, so it is worthy of popularization and
application. |
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