卢海霖 邑晓东 王宇 李宏 刘洪.根据退行性脊柱侧凸患者症状选择不同手术方案的临床研究[J].现代生物医学进展英文版,2016,16(30):5851-5853. |
根据退行性脊柱侧凸患者症状选择不同手术方案的临床研究 |
Clinical Study of Choose Different Operation Plan According to theSymptoms of Degenerative Scoliosis |
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DOI: |
中文关键词: 退行性脊柱侧凸 症状类型 长节段矫形内固定术 责任节段减压内固术 |
英文关键词: Degenerative scoliosis The type of symptoms In the long segment orthopedic fixation Within the responsibility of
segment solid decompression surgery |
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中文摘要: |
目的:探究根据退行性脊柱侧凸患者症状选择不同手术方案的治疗效果。方法:随机选取我院2007 年9 月到2015 年10 月
收治的退行性脊柱侧凸患者124 例,根据症状不同分A 组和B 组。A 组62 例患者腰背痛,接受长节段矫形内固定术;B组62 例
患者下肢症状明显,接受责任节段减压内固术。治疗期间记录两组手术时间、术中出血量、固定节段数及腰前凸角度,于治疗前、
治疗后1 个月以及末次随访时腰椎侧凸处的Cobb 角,并采用视觉模拟评分法(VAS)和Oswestry功能障碍指数(ODI)评价患者疗
效。结果:A 组手术时间、出血量、固定节段数及腰前凸角度显著高于B 组(P<0.05);治疗后和末次随访两组患者VAS 评分、ODI
指数及Cobb 角均有明显好转(P<0.05),两组治疗后和末次随访之间的差异无统计学意义(P>0.05)。结论:退行性脊柱侧凸在治疗
时需根据患者具体症状选择不同的手术方案,长节段矫形内固定术耗时长、术中出血量多,在治疗时应谨慎,预防相关并发症的
发生。 |
英文摘要: |
Objective:To explore the effect of choose different operation plan according to the symptoms of degenerative
scoliosis.Methods:124 cases of degenerative scoliosis patients were randomly selected in our hospital from September 2007 to October
2015, which were divided into A group and B group according to the symptoms. A group of 62 cases of patients with low back pain,
accepted long segmental orthopedic fixation,B group of 62 patients with lower extremity symptoms, accept responsibility for the
reduction of internal fixation. Recorded the operation time, bleeding volume, fixation segments and lumbar lordosis angle of two groups
during the treatment,and the Cobb angle of lumbar scoliosis at before treatment, 1 months after the treatment and last follow-up, And the
visual analogue scale (VAS) and Oswestry disability index (ODI) were used to evaluate the efficacy of the patients.Results:The
operation time, bleeding volume, segmental fixation and lumbar lordosis angle of A group was obviously higher than that in B group
(P<0.05); after treatment and at last follow-up, the VAS and ODI and Cobb angle of two groups were significantly improved (P<0.05),
the difference between after treatment and last follow-up in two groups had no statistical significance (P>0.05).Conclusion:In the
treatment of degenerative scoliosis patients with specific symptoms must be selected according to the different surgical options,
time-consuming fixation over a long segment of orthopedic, blood loss and more caution in the treatment,prevention of related
complications. |
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