老年腰椎间盘突出伴不稳经后路减压椎间融合内固定术治疗的效果分析.docVIP

老年腰椎间盘突出伴不稳经后路减压椎间融合内固定术治疗的效果分析 　　[摘要] 目的 通过临床手术，综合分析在对患有多节段腰椎间盘突出症患者进行治疗的过程中，采用钉棒系统内固定以及腰椎后路减压的办法，并结合使用椎体间融合器植骨融合的手段，揭示了使用以上的手术方法对多节段腰椎间盘突出症进行手术后的实际效果。方法 使用钉棒系统内固定、腰椎后路全椎板减压、椎间盘切除加椎间融合器植骨融合内固定的手术方法，对84例患有腰椎邻近多节段椎间盘突出症的患者进行手术，随机分为观察组和对照组各42例。对照组施行单纯减压，观察组施行经后路减压椎间融合内固定术治疗。并对其进行术后的临床效果的回访记录与其术前的病症及治疗记录做分析研究。结果 观察组患者治总有效率（95.23%），在术后的疗效要明显优于对照组（73.80%），两组比较差异有统计学意义（P0.05）。结论 采用钉棒系统内固定、腰椎后路全椎板减压、椎间盘切除术和融合器椎间植骨融合内固定术对于相邻多节段椎间盘突出症具有非常显著的疗效。 　　[关键词] 多节段椎间盘突出症并腰椎不稳；后路减压；椎体间植骨融合；钉棒系统内固定术 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）04（c）-0061-02 　　[Abstract] Objective Through the clinical operation， comprehensive analysis the process of multi segmental lumbar disc herniation were treated，Using the screw rod system fixation and posterior lumbar decompression method， and combined with the use of interbody fusion cage implant bone fusion method， reveals the actual effect of operation of using the above methods of operation for multi segmental lumbar disc herniation. Methods The use of screw rod system fixation， posterior lumbar laminectomy， discectomy with interbody fusion with bone graft fusion and internal fixed operation method， operation on 84 patients with multi segmental lumbar adjacent intervertebral disc herniation， were randomly divided into observation group and control group with 42 cases in each group. The control group received simple decompression，the observation group treated by posterior decompression of intervertebral fusion internal fixation surgery treatment. Analysis and research of postoperative of eview records of clinical effects and preoperative symptoms and treatment records. Results The total efficiency of the patients in the observation group（95.23%） was significantly better than the control group（73.80%） in the efficacy of postoperative.The differences between two groups were statisticallisignificance（P O.05）. Conclusion Usingscrewrods ystemfixa tion，posterior lumbarlaminectomy，discectomy andf usioncageinte rb odyfusionandinternalfixationhas