[1]李国威,逯 强.选择性神经根封闭术联合腰椎固定融合术治疗多节段腰椎退行性疾病临床研究[J].陕西医学杂志,2022,51(2):195-198.[doi:DOI:10.3969/j.issn.1000-7377.2022.02.015]
　LI Guowei,LU Qiang.Efficacy of selective nerve root closure combined with lumbar fixation and fusion in multi-level lumbar degenerative diseases[J].,2022,51(2):195-198.[doi:DOI:10.3969/j.issn.1000-7377.2022.02.015]
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选择性神经根封闭术联合腰椎固定融合术治疗多节段腰椎退行性疾病临床研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年2期
页码:
195-198
栏目:
临床研究
出版日期:
2022-02-05

文章信息/Info

Title:
Efficacy of selective nerve root closure combined with lumbar fixation and fusion in multi-level lumbar degenerative diseases
作者:
李国威; 逯 强
(锦州医科大学附属第一医院,辽宁 锦州 121012)
Author(s):
LI Guowei; LU Qiang
(The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121012,China)
关键词:
多节段腰椎退行性疾病;  选择性神经根封闭术;  腰椎固定融合术;  疼痛;  椎间隙高度;  并发症
Keywords:
Multi-level lumbar degenerative disease;  Selective nerve root block;  Lumbar fixation and fusion;  Pain;  Intervertebral height;  Complication
分类号:
R 614.4
DOI:
DOI:10.3969/j.issn.1000-7377.2022.02.015
文献标志码:
A
摘要:
`目的:探究选择性神经根封闭术与广泛性神经椎管减压术分别联合腰椎固定融合术对多节段腰椎退行性疾病患者的治疗效果。方法:选取多节段腰椎退行性疾病患者105例,采用随机数表法分为观察组和对照组,各54例、51例。其中观察组患者采用选择性神经根封闭术联合腰椎固定融合术治疗,对照组患者采用广泛性神经椎管减压术联合腰椎固定融合术治疗,对比两组相关参数。结果:观察组术后1、3个月的腰痛评分标准(ODI)、视觉模拟评分法(VAS)评分均小于对照组(均P<0.05); 术后1个月,观察组患者手术节段椎间隙高度高于对照组、活动度(ROM )小于对照组(均P<0.05); 术后3个月,观察组负重行走500 m、久坐1 h腰腿痛患者占比低于对照组(均P<0.05),但术后6个月两组比较无统计学差异(P>0.05); 观察组患者术后神经损伤、神经根水肿并发症发生率低于对照组(均P<0.05)。结论:选择性神经根封闭术联合腰椎固定融合术可有效改善多节段腰椎退行性疾病患者的临床症状以及腰腿疼痛程度、降低其术后并发症发生率,相较于广泛性神经椎管减压术而言治疗效果更佳。
Abstract:
Objective:To explore the therapeutic effects of selective nerve root block and extensive spinal canal decompression respectively combined with lumbar fixation and fusion for patients with multi-level lumbar degenerative diseases.Methods:A total of 105 patients with multi-level lumbar degenerative diseases were selected and divided into observation group(54 cases)and control group(51 cases)by random number table method.Patients in the observation group were treated with selective nerve root block combined with lumbar fixation and fusion,while patients in the control group were treated with extensive spinal canal decompression combined with lumbar fixation and fusion.Relevant parameters were compared between the two groups.Results:At 1 and 3 months after operation,the scores of ODI and VAS in the observation group were lower than those in the control group(all P<0.05).At 1 month after operation,the height of intervertebral space in the observation group was higher than that in the control group,and the ROM was lower than that in the control group(all P<0.05).At 3 months after operation,the proportion of patients walking 500 metre with weight and patients with low back pain after 1 hour of sitting in the observation group were lower than those in the control group(all P<0.05),but there was no significant difference in those at 6 months after operation between the two groups(all P>0.05).The incidence of postoperative nerve injury and the incidence of nerve root edema in the observation group were lower than those in the control group(all P<0.05).Conclusion:In patients with multi-level lumbar degenerative diseases,selective nerve root block combined with lumbar fixation and fusion can effectively improve the clinical symptoms and the degree of low back and leg pain,reduce the incidence of postoperative complications.Compared with extensive spinal canal decompression,the treatment effect is better.

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备注/Memo

备注/Memo:
基金项目:辽宁省教育厅科学研究经费项目(JYTQN2020012)
更新日期/Last Update: 2022-02-09