腰椎弹性内固定术治疗腰椎间盘突出症临床观察.docxVIP

腰椎弹性内固定术治疗腰椎间盘突出症临床观察 【摘 要】目的：观察腰椎弹性内固定术治疗腰椎间盘突 出症的临床疗效。方法：将80例腰椎间盘突出症患者随机 分为治疗组和对照组，每组40例。治疗组采用腰椎Wallis 弹性内固定手术治疗，对照组采用腰椎经椎弓根螺钉系统内 固定手术治疗，比较两组患者治疗效果及术后并发症。结果: 治疗组患者在手术时间、出血量、住院时间、临床总有效率、 术后腰腿痛VAS评分及并发症发生率、复发率、术后生活质 量方面均优于对照组，差异有统计学意义（P 吐；0. 05）o 结论：腰椎弹性内固定术治疗腰椎间盘突出症效果肯定，患 者疼痛明显减轻，且手术时间短、术中出血量少、住院时间 短，并发症少，是理想的治疗手段。 【关键词】腰椎间盘突出症；腰椎 【关键词】 腰椎间盘突出症；腰椎Wallis弹性内固定 术；临床分析 doi： 10. 3969/j. issn. 2095-4174.2015.01.007 Clinical Observation of Treating Lumbar Disc Herniation with Lumbar Elastic Internal Fixation GAO Feng, JIN Feng-hua [ABSTRACT] Objective： To observe the clinical curative effect of lumbar elastic internal fixation for lumbar disc herniation. Methods： 80 cases of lumbar disc herniation were randomly divided into a trea.tment group and a control group, 40 cases in each .The treatment group were treated with the Wallis elastic internal fixation, while the control group with the pedicle screw internal fixation , comparing the treatment effectiveness and postoperative complications of the two groups. Results： The treatment group was better than the control group on the aspects of operation time, amount of bleeding , hospitalization time , total clinical effective rate, postoperative VAS score of low back and leg pain , incidence of complications , recurrence rate, and the postoperative life quality, the difference being statistically significant (P lt； 0. 05) . Conclusion： The lumbar elastic internal fixation had a good effect for lumbar disc herniation because of less pain, shorter operation time, less bleeding, short-term hospitalization, and fewer complications, being an ideal treating method. [Keywords】 lumbar disc herniation； Wallis lumbar elastic fixation；clinical analysis 腰椎间盘突出症(lumbar disc herniation, LDH)是 引起腰痛的主要原因之一，临床主要表现为腰痛、坐骨神经 痛、间歇性跛行及神经系统功能损伤等。临床上约有80%的 患者经非手术治疗后缓解或治愈［1］,约有10%?20%的患者 经严格保守治疗无效或虽然有效，但经常复发且症状较严重 者需采用手术治疗。目前临床多采用椎管减压、植骨融合内 固定及微创手术治疗，效果较好。为验证腰椎Wallis弹性 内固定手术治疗LDH的临床效果，笔者以椎弓根螺钉系统内 固定手术为对照，进行了临床观察，现总结报告如下。 1临床资料 选取2011年2月至2013年2月在本院住院