微创经椎间孔腰椎体间融合术治疗腰椎管狭窄合并腰椎不稳症的临床效果.docVIP

微创经椎间孔腰椎体间融合术治疗腰椎管狭窄合并腰椎不稳症的临床效果 　　[摘要] 目的 探究微创经椎间孔腰椎体间融合术治疗腰椎管狭窄合并腰椎不稳症的临床效果。 方法 选取本院2012年12月～2013年12月收治的腰椎管狭窄合并腰椎不稳症患者86例，将患者分为观察组（43例）和对照组（43例），给予观察组患者微创经椎间孔腰椎体间融合术治疗，给予对照组患者传统的后路腰椎融合术治疗，比较两组患者治疗后的VAS评分及总有效率。 结果 治疗后，观察组患者的VAS评分明显低于对照组，总有效率明显高于对照组（P0.05）。 结论 微创经椎间孔腰椎体间融合术治疗腰椎管狭窄合并腰椎不稳症能有效改善患者的病情，提高其治愈率，值得临床广泛推广。 　　[关键词] 腰椎管狭窄；腰椎不稳症；微创经椎间孔腰椎体间融合术 　　[中图分类号] R681.5 [文献标识码] A [文章编号] 1674-4721（2015）06（a）-0081-03 　　Clinical effect of minimally invasive transforaminal lumbar interbody fusion operation treating lumbar spinal stenosis combined with instability of lumbar spine symptom 　　ZHANG Xian 　　Department of Orthopedics，the First Affiliated Hospital of Henan University，Kaifeng 475000，China 　　[Abstract] Objective To explore the clinical effect of minimally invasive transforaminal lumbar interbody fusion operation treating lumbar spinal stenosis combined with instability of lumbar spine symptom. Methods 86 patients with lumbar spinal stenosis and instability of lumbar spine symptom treated in our hospital from December 2012 to December 2013 were selected and they were divided into observation group （n=43） and control group （n=43）.In observation group，patients were treated with minimally invasive transforaminal lumbar interbody fusion operation，while in the control group，patients were treated with traditional posterior lumbar spinal fusion operation.The visual analogue scale （VAS） score and total effective rate after therapy between two groups was compared respectively. Results After therapy，VAS score in observation group was obviously lower than that of control group，and total effective rate in observation group was obviously higher than that of control group （P0.05）. Conclusion Minimally invasive transforaminal lumbar interbody fusion operation treating lumbar spinal stenosis combined with instability of lumbar spine symptom can effectively improve disease condition of patients as well as cure rate，which is worthy of expansive promotion in clinic. 　　[Key wor