【摘要】 目的探讨腰椎退行性侧弯合并多节段腰椎管狭窄行手术治疗的短期临床治疗效果。方法选取玉溪市人民医院骨外I科自2015年7月至2017年4月因腰椎退行性侧弯合并多节段腰椎管狭窄的患者进行多节段减压固定手术并拥有半年随访的患者共38名,其中女性23名,男性15名,年龄最长者78岁,最小者60岁,平均(68.89±4.55)岁。入院后经各项检查排外手术禁忌后行手术治疗。分别于术前、术后1周、术后1月、术后6月选取腰椎侧弯Cobb角、Oswestry功能障碍指数(ODI评分)、日本骨科协会评估治疗分数(JOA评分)、疼痛视觉模拟评分(VAS评分)作为观察指标进行记录并评估及分析。结果各项指标在各随访时间与术前对比均有统计学意义(P <0.05);术后各随访时间之间各项指标之间的差异均有统计学意义(P <0.05)。结论手术治疗腰椎退行性侧弯合并多节段腰椎管狭窄的短期疗效确切,可提高患者的生活质量。更多还原

【Abstract】 Objective To explore the short-term surgery efficacy of lumbar degenerative scoliosis with multisegmental lumbar spinal stenosis. Methods We selected 38 cases of lumbar degenerative scoliosis patients with multiple lumbar spinal stenosis who underwent multi-segment decompression and fixation and had six months of follow-upfrom 2015 Jul to 2017 Apr. After admission,surgical treatment was prohibited after various examinations.We recorded the Cobb angle,ODI scores,JOA scores,VAS scores before surgery,1 week after surgery,1 month after surgery,and 6 months after surgery and evaluated the surgery efficacy. Results All indicators had statistically significant differences between follow-up time and before surgery(P < 0.05). The difference between the indexes after each postoperative follow-up was statistically significant(P < 0.05). Conclusion Surgical treatment can improve the quality of life of patients with lumbar degenerative scoliosis combined with multi-segment lumbar spinal stenosis, and has good short-term results.更多还原