腰椎滑脱手术治疗的临床效果及其影响因素分析.docVIP

申明：这篇论文为原创，MD,帮人代写的，结果不给钱, 那我就发到网上。 腰椎滑脱手术治疗的临床效果及其影响因素分析 ［摘要］目的探讨手术治疗腰椎滑脱的临床效果及其影响因素。方法选取2010年3月至 2015年3月我院收治的腰椎滑脱手术56例为研究对彖。依据病人不同情况选取不同的手术 方式。A组（9例）：后路钉棒系统固定，单纯椎板植骨融合术；B组（16例）：减压，后路 钉棒系统固定，椎板植骨融合术；C组（13例）：减压，后路钉棒系统固定、复位，经关节 突植骨、椎板植骨融合；D组（18例）：减压，后路钉棒系统固定、复位,经关节突植骨、 横突间、椎板植骨融合。观察比较4种不同治疗方法的术后早期及术麻随访结果，并对其影 响因素进行Logistic分析。结果A、B、C、D4组患者的滑脱复位率分别为64.18%, 91.26%, 89.71%和91.67%； 4组的随访复位率分别为55.13%, 89.76%, 88.33%和90.45%； 4组的骨 融合率分别为 74.19%, 90.91%, 93.02%和 96.72%。Logistic 分析表明，年龄（OR=0」38, P=0.012）和骨融合情况 5=25.661, P=0.001）是影响临床效果的重要因素。结论4种 不同手术方式对腰椎滑脱的治疗均有一定的临床价值，应根据滑脱程度、临床症状等选择相 应的手术方式。此外，年龄和骨融合情况是影响腰椎滑脱治疗临床效果的重要因素。 ［关键词］腰椎滑脱；临床效果；影响因素 Clinical Effect of Surgical Treatment for Lumbar Spondylolisthesis and its Influence Factors [Abstract] Objective To investigate the clinical effect of surgical treatment for lumbar spondylolisthesis and its in fluence factors. Methods 56 cases patients with lumbar spondylolisthesis in our hospital from March 2010 to March 2015 were selected as research objects. Different operation mode were chosen according to different circumstances of the patients. 9 patients in group A were treated with reduction of sliding vertebra, posterior internal fixation by nail-stick system and lumber vertebral lamina fusion. 16 patients in group B were treated with decompression, reduction of sliding vertebra, posterior internal fixation by nail-stick system and lumber vertebral lamina fusion. 13 patients in group C were treated with decompression, reduction of sliding vertebra, posterior internal fixation by nail-stick system and the intervertebral body and vertebral lamina fusion through the zygopophysis? 18 patients in group D were treated with decompression, reduction of sliding vertebra, posterior internal fixation by nail-stick system and the intervertebral body, transverse and vertebral lamina fusion through the zygopophysis? Results The reduction rate of spondylolisthesis rates after treatment of group A, B, C and D were 64」8%, 91.26%, 89.71% and 91.6