陈宇飞;李京元;张红星;张金康;郑超;薛静;厉晓杰;彭页;杜俊杰;

• 1:空军特色医学中心骨科

摘要(Abstract)：

[目的]探讨保留棘突韧带复合体腰椎管扩大减压术治疗腰椎管狭窄症(LCS)伴退变性脊柱侧凸(ADS)的临床结果。[方法]回顾2014年1月1日～2019年1月1日本院收治的25例ADS合并LCS患者,采用保留棘突韧带复合体腰椎管扩大减压术治疗。总结其围手术期、随访和影像资料。[结果] 25例患者均顺利完成手术,手术时间(95.61±10.43) min,手术出血量(83.78±12.45) ml,术后引流量(128.62±31.42) ml,术后卧床时间(2.86±0.85) d。发生脑脊液漏1例(4.00%),手术切口脂肪液化1例(4.00%),无其他严重手术并发症。均随访(13.75±4.35)个月,随时间推移,患者腰痛和腿痛VAS、ODI评分显著下降(P<0.05),而连续行走距离显著增加(P<0.05)。影像方面,术后椎管面积显著增大(P<0.05),而侧凸Cobb角、矢状垂直间距(SVA)和腰椎前凸角(LL)无显著变化(P>0.05)。[结论]保留棘突韧带复合体腰椎管扩大减压术治疗ADS伴LCS具有医源性损伤小,并发症少,患者满意度高的优点。

关键词(KeyWords)： 退变性脊柱侧凸;腰椎管狭窄症;保留棘突韧带复合体腰椎管扩大减压术

Abstract:

Keywords:

基金项目(Foundation): 首都特色临床医学应用发展专项项目（编号：Z161100000116057）;; 军队后勤科研重点项目（编号：BKJ17J004、BKJ20J004）

作者(Author): 陈宇飞;李京元;张红星;张金康;郑超;薛静;厉晓杰;彭页;杜俊杰;

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