单侧椎弓根内固定单枚cage植入与双侧固定治疗腰椎间盘突出症的疗效对比研究-外科学专业论文.docx

PAGE PAGE 1 单侧椎弓根内固定单枚 cage 植入与双侧固定治疗腰椎间盘突出症的 疗效对比分析 摘 要 目的：对比分析单侧椎弓根内固定联合单枚 cage 植入与双侧内固定治疗腰椎间盘 突出症的疗效。 方法：将我院从 2010 年 1 月份到 2013 年 8 月份治疗的 60 例患有腰椎间盘突出症 并行内椎弓根内固定术的病人分成两个组：其中行单侧内固定的病例有 32 例，采 用单侧椎弓根内固定联合单枚 cage 植入（A 组）；双侧内固定组有 28 例，采用双 侧椎弓根内固定加椎间植骨融合（B 组）。比较两组的手术时间、术中出血量、总 的住院时间、VAS 评分和术后并发症的发生率、融合率。 结果：单侧固定组的患者住院时间、术中出血量、手术时间与双侧固定组住院时 间、术中出血量、手术时间差异比较具有统计学意义(P0.05)。所有患者术后均 得到随访，随访时间为 12-26 个月，平均 18.5 个月，两组椎间融合率、并发症发 生率比较差异无统计学意义(P0.05) ，末次随访时两组的 VAS 评分与同组术前评 分比较差异具有统计学意义(P0.05),但两组间比较差异无统计学意义(P0.05)。 结论: 单侧椎弓根内固定联合单枚 cage 植入术式在疗效方面与双侧固定组无明显 差异、但其具有手术出血量少、手术时间短、对脊柱结构破坏少、住院时间短等 优点。 关键词：单双侧椎弓根固定；cage；LDH；疗效分析 The curative effect analysis of unilateral pedicle internal fixation of single cage insertion and bilateral pedicle fixation for lumbar intervertebral discherniation Abstract Objective: To have a comparative analysis and evaluation upon the differences between unilateral pedicle internal fixation of inclined single cage insertion and bilateral pedicle fixation therapy for LDH. Methods: 60 patients with lumbar disc herniation after internal fixation surgery received and cured in this hospital from January 2001 to August 2013 were divided into two different groups: 32 cases received unilateral pedicle internal fixation of single cage insertion as unilateral fixation group (group A), and 28 cases received bilateral pedicle internal fixation of interbody spinal fusion as bilateral fixation group (group B). Comparison was made upon the operation time, blood loss, hospitalization time, postoperative morbidity rate, fusion rate and the VAS score. Results: the comparison difference upon the operation time, blood loss, and hospitalization time between the unilateral fixation group and the bilateral fixation group have statistical significance (P 0.05). All the patients were followed-up 12-26 months after the surgery, and the average mean is 18.5 months. The statistic differences upon postoperative morbidity rate and fusion rate between the two groups have no statis