腰椎间盘突出症合并椎体滑脱的手术治疗效果分析（★）.docx

腰椎间盘突出症合并椎体滑脱的手术治疗效果分析（★）

第一篇：腰椎间盘突出症合并椎体滑脱的手术治疗效果分析腰椎间盘突出症合并椎体滑脱的手术治疗效果分析[摘要]目的探讨腰椎间盘突出症合并椎体滑脱的手术治疗效果。方法选取2011年5月～2012年9月于我院就诊的腰椎间盘突出症合并椎体滑脱患者75例，随机分为手术组（38例）和牵拉组（37例）。比较两组的临床疗效及JOA下腰痛评分和并发症发生率。结果手术组的优良率为92.11%，明显高于牵拉组的75.68%，差异具有统计学意义（P＜0.05）。术前两组JOA下腰痛评分比较，差异无统计学意义（P＞0.05）；手术组术后JOA下腰痛评分明显高于牵拉组，差异具有统计学意义（P＜0.05）；手术组术后并发症发生率明显低于牵拉组，差异具有统计学意义（P＜0.05）。结论手术治疗腰椎间盘突出症合并椎体滑脱的临床疗效显著，具有界面固定稳定、保证椎间隙的高度、融合率高等诸多优点，疗效满意。[关键词]腰椎间盘突出症；脊椎滑脱；手术治疗[中图分类号]R687.3   [文献标识码]B   [文章编号]2095-0616（2014）08-183-03AnalysisonoperationtreatmenteffectoflumbardischerniationcombinedwithspondylolisthesisYU HaiguoDepartmentofOrthopedics,ZhangdianHospitalofTraditionalChineseMedicineinZiboCity,Zibo255035,China[Abstract]ObjectiveToexploretheoperationtreatmenteffectoflumbardischerniationcombinedwithspondylolisthesis.Methods75casesoflumbardischerniationcombinedwithspondylolisthesiswerecollectedfromMay2011toSeptember2012inourhospital,andwererandomlypidedintooperationgroup(38cases)andtractiongroup(37cases).Theclinicalefficacy,JOAlowbackpainscoreandincidenceofcomplicationswascomparedbetweenthetwogroups.ResultsTheexcellentandgoodrateofoperationgroupwas92.11%,whichwassignificantlyhigherthan75.68%oftractiongroup,thedifferencewasstatisticallysignificantbetweentwogroups(P＜0.05).TherewasnosignificantdifferenceinJOAlowbackpainscorebeforeoperationbetweentwogroups(P＞0.05);postoperativeJOAlowbackpainscoreofoperationgroupwassignificantlyhigherthanthatoftractiongroup,thedifferencewassignificant(P＜0.05);postoperativeincidenceofcomplicationsofoperationgroupwassignificantlylowerthanthatoftractiongroup,thedifferencewassignificant(P＜0.05).ConclusionTheoperationtreatmentforlumbardischerniationcombinedwithspondylolisthesishassignificantclinicalcurativeeffect,andhastheadvantageswithfixedandstableinterface,ensuringtheheightofintervertebralspace,highfusionrate.[Keywords]Lumbardischerniation;Spondylolisthesis;Operationtreatment腰椎间盘突出症合并椎体滑脱临床常见，其约占腰椎间盘突出症的1/5左右。临床确诊需根据临床表现及辅助检查综合评价。引起腰椎间盘突出症的主要原因是外伤因素及退行性变，椎体滑脱的病理基础为椎间盘突出。突出的椎间盘会