选择性减压融合治疗伴退行性滑脱的多节段腰椎管狭窄症的效果观察

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Abstract Objective To explore the clinical effect of selective decompression and fusion in the treatment of multiple segment lumbar spinal stenosis with degenerative spondylolisthesis. Methods A total of 80 patients with multiple segment lumbar spinal stenosis with degenerative spondylolisthesis admitted to Dongguan Humen Hospital from April 2009 to April 2019 were selected as the research objects and divided into the control group (40 cases) and the observation group (40 cases) according to random number table method. The control group was treated with multiple segment decompression and fusion, and the observation group was treated with selective decompression and fusion. The operation time, intraoperative blood loss, proportion of fusion segments, visual analogue scale (VAS) for low back pain and leg pain, Japanese orthopedic association (JOA) score, and oswestry disability index (ODI) were compared between the two groups. Results The operation time of the observation group was shorter than that of the control group, and the difference was statistically significant (P＜0.05). The intraoperative blood loss was less than that of the control group, the difference was statistically significant (P＜0.05). There were no significant differences in the VAS scores of leg pain and low back pain, JOA score and ODI score bwtweem the two groups before and after treatment (P＞0.05). The scores of leg pain VAS and low back pain , JOA score of the two group were lower than those before treatment, the ODI score of the two groups was higher than that before treatment, and the differences were statistically significant (P＜0.05). The proportion of fusion segments in the observation group was lower than that of the control group, and the difference was statistically significant (P＜0.05). Conclusion Selective decompression and fusion in the treatment of multiple segment lumbar spinal stenosis with degenerative spondylolisthesis has certain clinical effect.

Key words： Selective decompression and fusion Degenerative spondylolisthesis Multiple segment lumbar spinal stenosis Visual analogue scale Japanese orthopedic association score

Received: 03 August 2020

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[1]	马守战，卲越峰，娄茜华，等.选择性减压融合与多节段减压融合治疗多节段腰椎管狭窄伴退行性滑脱的疗效对比[J].颈腰痛杂志，2018，39（2）：140-143.
[2]	王德明.后路扩大减压椎体间融合术治疗高位腰椎间盘突出症疗效观察[J].中国现代医生，2018，56（23）：100-101，105.
[3]	贺旭，马雪峰，刘恺，等.后路经侧前方减压单节段融合治疗Denis B 型胸腰椎爆裂骨折的临床疗效观察[J].中国现代医生，2016，54（28）：79-82.
[4]	孙伟，薛骋，唐先业，等.选择性减压融合治疗伴退行性滑脱的多节段腰椎管狭窄症[J].中国矫形外科杂志，2016，24（23）：2139-2143.
[5]	顾华杰，张智达，魏娜，等.单侧减压短节段后路椎间融合联合长滑脱椎体间融合器治疗中老年退行性腰椎管狭窄症疗效分析[J].现代实用医学，2017，29（12）：1635-1637.
[6]	李春晓，刘日新，张志刚.不同手术方式治疗退行性多节段腰椎管狭窄合并单节段椎体滑脱的效果比较[J].河南医学研究，2017，26（9）：1687-1688.
[7]	唐向盛，周峻，移平，等.责任节段融合术治疗高龄多节段腰椎管狭窄症[J].中国矫形外科杂志，2020，28（3）：198-203.
[8]	徐江，郭团茂.选择性神经根阻滞在经皮椎间孔镜技术治疗多节段退行性腰椎管狭窄症的定位诊断价值[J].颈腰痛杂志，2020，41（1）：120-121.
[9]	岳兵，叶志方，王泽昊，等.责任神经根阻滞联合经皮椎间孔镜技术治疗多节段腰椎侧隐窝狭窄症[J].中国微创外科杂志，2019，19（6）：502-505.
[10]	Frsth P，Svedmark P，Noz ME，et al.Motion Analysis in Lumbar Spinal Stenosis With Degenerative Spondylolisthesis[J].CLIN SPINE SURG，2018，31（8）：E397-E402.
[11]	伊莉，陈丽言，唐蜜，等.快速康复训练在高龄多节段退行性腰椎管狭窄症患者中的应用[J].齐鲁护理杂志，2019，25（10）：70-73.
[12]	李全修，杨学军，陈晓东，等.TLIF 治疗老年多节段腰椎间盘突出并椎管狭窄症的疗效分析[J].中国骨与关节损伤杂志，2018，33（1）：20-23.
[13]	翁阳华，黎佩珍，伊莉，等.选择性短节段减压融合治疗高龄多节段退行性腰椎管狭窄症的临床疗效[J].中国伤残医学，2018，26（13）：5-6.
[14]	刘扬.选择性神经根阻滞术在多节段腰椎管狭窄症中的应用[J].巴楚医学，2018，1（4）：42-45.
[15]	张洋，肖杰，邹伟，等.选择性神经根阻滞术在腰椎管狭窄症手术节段选择中的应用[J].医药前沿，2018，8（22）：201.
[16]	关海山，李承罡，史洁，等.前路减压融合术与后路单开门椎管扩大成形术治疗多节段脊髓型颈椎病的中期随访研究[J].中华骨科杂志，2019，39（17）：1044-1052.
[17]	刘秋杰.选择性减压融合手术治疗多节段腰椎管狭窄症伴退行性滑脱的临床效果分析[J].淮海医药，2019，37（5）：514-516.