单纯减压与减压融合内固定术治疗伴Ⅰ度退行性滑脱的腰椎管狭窄症的疗效比较.docVIP

单纯减压与减压融合内固定术治疗伴Ⅰ度退行性滑脱的腰椎管狭窄症的疗效比较 摘要：目的 探索单纯减压和减压融合内固定术治疗方式对伴Ⅰ度退行性滑脱的腰椎管狭窄症治疗疗效。方法 选取伴Ⅰ度退行性滑脱的腰椎管狭窄症患者78例，对照组39例患者采用单纯减压方法，实验组39例患者采用减压融合内固定术的治疗方法。结果 实验组患者手术过程中出血量和手术时间明显低于对照组，实验组术后不良症状出现几率明显低于对照组，手术前及术后6个月实验组及对照组腿痛、腰痛VAS评分和滑脱率比较其差异不显著，术后1年对照组腰腿痛评分和滑脱率比实验组明显要差。结论 对伴Ⅰ度退行性滑脱的腰椎管狭窄症患者采取减压融合内固定术疗法近期效果不如单纯减压方法，但远期疗效明显比单纯减压治疗方法好。 关键词：单纯减压；减压融合内固定术；伴Ⅰ度退行性滑脱的腰椎管狭窄症 Abstract：Objective To explore simple decompression and decompression fusion and internal fixation treatment of degenerative slippage withⅠdegrees of lumbar spinal stenosis disease treatment curative effect.Methods Select with degenerative slippageⅠdegrees of 78 patients with lumbar spinal stenosis disease，the control group of 39 patients with simple decompression method，the experimental group 39 patients treated by decompression and fusion and internal fixation method.Results The patients with operation in the process of blood loss and operation time significantly lower than the control group，postoperative adverse symptoms appear likely significantly lower than the control group，experimental group before surgery and postoperative half year experimental group and control group leg pain，waist pain VAS score and compare the difference of slippage rate was not significant，a year after the control lumbocrural pain scores and slip rate is worse than the experimental group obviously.Conclusion On the companionⅠdegenerative slippage of lumbar spinal stenosis patients take decompression fusion and internal fixation therapy effect is better than simple decompression method recently，but the long-term curative effect obviously better than simple decompression treatment. Key words：Simple decompression； Decompression and internal fixation； Lumbar degenerative spondylolisthesis with one degree of stenosis 退行型滑脱是因为腰椎的运动阶段发生退变导致的，代表性腰椎滑脱合并椎管狭窄可能造成神经间歇性腰腿痛或跛行症状。如果通过保守治疗方法不见效或者频繁发作则要通过手术方法予以治疗[1]。手术旨在神经减压使症状得以缓解，单纯减压方法初期具有较为理想的效果，但是中长期通过随访发现满意度开始逐渐降低[2]。本院采取单纯减压与减压融合内固定术对伴Ⅰ度退行性滑脱的腰椎管狭窄症患者分别进行治疗，并对两组近期与中远期治疗效果进行对比。 1资料与方法 1.1一般资料