作　　者： ; ; ; ;

机构地区： 中山大学附属第一医院

出　　处： 《中国当代医药》 2020年第10期105-108,共4页

摘　　要： 目的比较单侧与双侧椎弓根钉内固定脊柱融合术治疗脊柱退行性疾病的效果。方法选取2017年6月~2019年3月我院门诊收治的40例符合脊柱退行性疾病诊断标准的患者作为研究对象,采用随机数字表法分为A组(20例)和B组(20例)。A组采用单侧置入椎弓根螺钉,B组采用双侧置入椎弓根螺钉。比较两组患者的手术时长、出血量、住院时间、术后并发症,观察两组患者的腰部和腿部视觉模拟量表(VAS)评分以及功能障碍指数问卷表(ODI)评分变化情况。结果 A组患者的手术时间、住院时间均短于B组,出血量少于B组,差异有统计学意义(P<0.05);两组患者的术后融合率比较,差异无统计学意义(P>0.05)。两组患者的术后并发症总发生率比较,差异无统计学意义(P>0.05)。另外,经过手术治疗后,两组患者的腰部、腿部VAS评分以及ODI评分均低于手术前,差异有统计学意义(P<0.05)。两组患者手术治疗后的腰部、腿部VAS评分以及ODI评分比较,差异无统计学意义(P>0.05)。结论单侧与双侧椎弓根钉内固定脊柱融合术治疗脊柱退行性疾病在手术效果方面相近,但单侧椎弓根钉内固定法相对而言具有手术时间短、出血量少、住院时间短等优点,值得临床进一步研究应用。 Objective To investigate the effect of spinal fusion with unilateral and bilateral pedicle screw fixation in spinal degenerative diseases. Methods From June 2017 to March 2019, 40 patients who met the diagnostic criteria of spinal degenerative diseases were selected as the subjects of the study, they were randomly divided into group A(20 cases) and group B(20 cases) by the random digital table method. Group A was treated with unilateral pedicle screw, and group B was treated with bilateral pedicle screw. The length of operation, the amount of bleeding, the length of hospitalization and postoperative complications were compared between the two groups. The changes of visual analogue scale(VAS) score of waist and leg visual analog score and the changes of Oswestry disability index(ODI) score of the two groups were observed. Results The operation time and hospitalization time of group A were shorter than those of group B, and the amount of bleeding of group A was less than that of group B, the differences were statistically significant(P<0.05). There was no significant difference in postoperative fusion rate between the two groups(P>0.05). There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05). In addition,after surgical treatment, the VAS score and ODI score of waist and leg in the two groups were lower than those before operation, the differences were statistically significant(P<0.05). There was no significant difference in VAS score and ODI score between the two groups after operation(P>0.05). Conclusion The operative effect of unilateral and bilateral pedicle screw internal fixation spinal fusion is similar in the treatment of spinal degenerative diseases, but unilateral pedicle screw internal fixation has the advantages of short operation time, less bleeding and short hospitalization time,which is worthy of further clinical study and application.

关 键 词： 单侧 双侧 脊柱退行性疾病 椎弓根钉 脊柱融合术 随机对照研究

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