王斌;曾忠友;韩建福;

• 1:武警浙江总队医院脊柱与关节外科

摘要(Abstract)：

[目的]比较分析单侧和双侧椎弓根螺钉内固定术的临床疗效。[方法]回顾分析自2008年3月～2010年2月采用腰椎间融合术治疗的61例腰椎间盘突出症患者,按照手术方式不同分为A、B两组。其中A组28例,男性16例,女性12例;年龄(54.3±9.2)岁,采用经肌间隙入路单侧椎弓根螺钉内固定术治疗。B组33例,男性18例,女性15例;年龄(56.1±7.3)岁,采用传统后正中入路双侧椎弓根螺钉内固定术治疗。分别对两组患者术前和术后随访时的Oswestry功能障碍指数(the Oswestry disability index,ODI)、疼痛视觉模拟评分(visual analoguescale,VAS)、植骨融合率等指标进行观察分析,评价患者的腰椎功能改善情况及手术疗效,并进行两组间的对比分析。[结果]两组病例手术时间、术中出血量、术后切口引流量和住院费用相比差异有统计学意义(P<0.05);所有病例均获随访,A组随访时间25～38个月(平均28.2个月)。B组随访时间24～36个月(平均27.6个月),随访过程中两组病例均未出现螺钉松动、移位、断裂等现象,亦未发现椎间融合器移位或沉陷。两组病例末次随访时VAS评分、ODI评分、术后改善率及融合率均无统计学差异(P>0.05)。[结论]采用单侧椎弓根螺钉内固定术较之采用双侧椎弓根螺钉内固定术可以取得同样满意的临床疗效。且前者具有操作简单、手术时间短、术中出血量少、术后切口引流量少、住院费用低的特点,可以作为治疗单侧腰椎间盘突出症的有效方法。

关键词(KeyWords)： 椎弓根螺钉内固定;腰椎间融合;腰椎间盘突出症

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 王斌;曾忠友;韩建福;

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参考文献(References)：

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