王亮;郑超;伍骥;吴迪;黄蓉蓉;杜俊杰;吴狄;汪萌;

• 1:安徽医科大学空军临床学院
• 2:空军总医院

摘要(Abstract)：

[目的]评价弹性固定(动态固定)及精准减压治疗症状性退行性腰椎滑脱的临床疗效。[方法]回顾性分析2014年1月~2015年12月本院收治的症状性退行性I度腰椎滑脱患者27例,均行弹性固定(Dynesys动态固定系统)加精准减压。采用Oswestry功能障碍指数(ODI)、疼痛视觉模拟评分(VAS)和影像测量等进行疗效评估。[结果]所有患者均顺利完成手术,平均手术时间(106.96±8.89)min,术中出血量(112.96±23.99)ml。1例患者术中出现脑脊液漏。随访18~39个月,平均30.53个月。ODI由术前(51.22±9.47)%降至末次随访(14.04±3.43)%(P<0.001)。腰痛VAS评分和腿痛VAS评分分别由术前(5.74±1.10)、(5.26±1.29)降至末次随访(1.33±0.68)、(1.22±0.64)(P<0.001)。硬膜囊面积由术前(70.03±17.61)mm~2增至末次随访(134.11±22.53)mm~2(P<0.001)。末次随访腰椎滑脱程度较术前无增加(P>0.05),椎间盘高度明显增加(P<0.001)。末次随访手术节段ROM保留(4.25±1.18)°,上位邻近节段ROM较术前增加(P<0.001)。[结论]弹性固定结合精准减压治疗症状性退行性I度腰椎滑脱,能够获得满意的临床疗效和影像学上的稳定,具有创伤小、出血少、恢复快、并发症少等优势。

关键词(KeyWords)： 弹性固定;动态固定;精准减压;退变性腰椎滑脱

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 王亮;郑超;伍骥;吴迪;黄蓉蓉;杜俊杰;吴狄;汪萌;

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参考文献(References)：

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