| 田德洲 唐韬 董永军 强京灵 朱强 胡国良 李泽新 李全春 吴生贵.厚度微创椎板间开窗椎管扩大术治疗腰椎管狭窄的疗效[J].,2016,16(33):6512-6515 |
| 厚度微创椎板间开窗椎管扩大术治疗腰椎管狭窄的疗效 |
| Minimally Invasive Lamina Windowing Spinal Canal Expanded in the Treatment of Lumbar Spinal Stenosis |
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| DOI： |
| 中文关键词: 腰椎管狭窄 微创 椎板间开窗椎管扩大术 |
| 英文关键词: Lumbar spinal stenosis Minimally invasive Lamina windowing spinal canal expanded |
| 基金项目:延安市科学技术研究发展计划项目（2014KW-04） |
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| 中文摘要: |
| 目的：探讨微创椎板间开窗椎管扩大术治疗腰椎管狭窄（LSS）的疗效。方法：对收治的40 例LSS 患者（研究组）前瞻性实施
微创椎板间开窗椎管扩大术治疗，回顾性分析实施常规后路椎板切除减压术治疗的40 例LSS 患者（对照组）的临床资料，术后随
访6~24 个月，对比两组患者治疗效果。结果：两组手术时间比较差异无统计学意义（P＞0.05），但研究组住院时间短于对照组，术
中失血量少于对照组（P＜0.05）；两组术后JOA评分有效率、轴性症状发生率、椎间隙高度、腰椎曲度、滑脱程度比较差异无统计
学意义（P＞0.05），但研究组术后伤椎疼痛VAS 评分显著低于对照组（P＜0.05）；对照组并发症总发生率高于研究组（P＜0.05）。结
论：微创椎板间开窗椎管扩大术治疗LSS，与常规术式疗效相当，但手术创伤小，术后并发症少。 |
| 英文摘要: |
| Objective:To investigate the effect of invasive lamina windowing spinal canal expanded in the treatment of lumbar
spinal stenosis.Methods:40 patients with LSS (the study group) prospectively underwent invasive lamina windowing spinal canal expanded.
And the data were retrospectively analyzed of 40 patients with LSS (the control group) between January 2013 and March 2013
who underwent conventional posterior vertebral lamina windowing decompression on both sides. The postoperative follow-up were 6 ~
24 months. Compare the treatment effect between the two groups.Results:There was no statistical difference in operation time between
two groups (P >0.05). However, the hospitalization time of the study group was shorter than that in the control group, and blood loss was
less than that in the control group (P<0.05). There were no statistical difference in postoperative JOA score efficient rate, axial symptoms,
intervertebral height, degree of cervical curvature, slip degree between two groups (P> 0.05). The injured vertebra pain VAS score after
operation in the study group was significantly lower than that in the control group (P<0.05). But the total incidence rate of postoperative
complication in the control group was higher than that in the study group (P<0.05).Conclusion:Minimally invasive lamina windowing
spinal canal expanded in the treatment of LSS has the same curative effect with conventional surgery, but with less surgical trauma and
less postoperative complications. |
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