探讨胸腰椎管狭窄症患者手术治疗的近期疗效.docVIP

探讨胸腰椎管狭窄症患者手术治疗的近期疗效 赵振东 付兆宗 刘一涛 广东省江门市中心医院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨胸腰椎管狭窄症患者手术治疗的近期疗效。方法:2015年1月2016年12月, 共有胸椎管狭窄症患者85例, 随机分为观察组与对照组。观察组 (45例) 采用微创通道下单侧减压术进行治疗, 对照组 (40例) 采用开放减压、椎间植骨内固定手术进行治疗, 比较两组患者的身体疼痛和ODI评分、治疗优良率、手术指标。结果: (1) 和治疗前对比, 观察组患者术后身体疼痛评分和ODI评分均明显减少, P0.05;和对照组对比, 观察组治疗后身体疼痛评分和ODI评分明显更少, P0.05; (2) 观察组治疗优良率达到95.56%, 对照组治疗优良率达到90%, 两组差异不显著, 不具有统计学意义, P0.05; (3) 观察组手术时间和恢复日常生活自理能力的时间明显比对照组短, 术中出血量明显比对照组少, 差异显著, 具有统计学意义, P0.05。结论:微创通道下单侧减压术应用于胸椎管狭窄症治疗中效果优于开放手术, 可靠安全, 有利于预后的改善, 值得推广。 关键词： 胸椎管狭窄症; 手术治疗; 近期疗效; 作者简介：赵振东 (1970-) , 男, 汉族, 广东江门人, 本科, 脊柱骨科副主任医师。研究方向:脊柱及骨关节病的临床治疗, 专长急慢性疼痛的诊疗及康复、手术治疗。 收稿日期：2017-03-12 Study on the Curative Effect of Thoracic and Lumbar Canal Stenosis with Surgical Treatment Zhao Zhendong Jiangmen Central Hospital of Guangdong Province; Abstract： Objective:To investigate the curative effect of surgical treatment of thoracic and lumbar canal stenosis.Methods:A total of 85 cases of thoracic spinal stenosis in a hospital from January 2015 to December2016 was divided into the observation group (45 cases) and the control group (40 cases) .The patients in the observation group were treated by minimally invasive unilateral decompression.The control group was treated with open reduction and internal fixation with bone graft.The physical pain and ODI score, excellent rate of treatment, surgical index of two groups were compared.Results: (1) Compared with before treatment, the postoperative pain score and ODI score of the observation group of patients were significantly reduced, P0.05.Compared with the control group, physical pain score and ODI score of the observation group after treatment was significantly less, P0.05. (2) The excellent and good rate of the observation group was up to95.56%, and the excellent and good rate of the control group was up to 90%, and the difference between the two groups was not significant, which was not statistically significant, P 0.05. (