| 陈亮元，梁锦前，曹奇，杨铁军，唐国军，陈小明，廖雄.选择性减压融合治疗老年退变性腰椎管狭窄症.[J].中南医学科学杂志.,2012,40(1):94-97. |
| 选择性减压融合治疗老年退变性腰椎管狭窄症 |
| Selected Decompression and Fusion for Elderly Degenerative Lumbar Spinal Stenosis |
| 投稿时间：2011-06-13 |
| DOI： |
| 中文关键词: 退变性腰椎管狭窄症 手术 植骨融合 减压 |
| 英文关键词:degenerative lumbar spinal stenosis operation graft fusion decompression |
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| 中文摘要: |
| 目的探讨应用脑室外引流术联合尼莫地平注射液治疗脑室出血的疗效。方法回顾性分析本科室脑室外引流术联合尼莫地平注射液治疗脑室出血30例（尼莫地平组）和单独脑室外引流术治疗脑室出血的22例患者的临床资料（对照组）。结果治疗后1、2、4周两组患者的神经功能缺损程度评分比较，差异均有显著性（P<0.05），且尼莫地平组较对照组更能显著改善患者的神经功能缺损程度评分。结论脑室外引流术联合尼莫地平注射液治疗脑室出血能明显改善脑室出血患者的致残程度，缩短住院时间，提高患者的生活质量。 |
| 英文摘要: |
| ObjectiveTo explore therapeutic effect of selected decompression and fusion for elderly degenerative lumbar spinal stenosis.Methods27 elderly cases of degenerative lumbar spinal stenosis were reviewed retrospectively.The involved segments were determined by history,signs and imaging findings.Then we carried out the decompression section and fusion segments by selected decompression fusion surgery.The clinical outcomes were evaluated by Japanese Orthopedic Association(JOA) score and visual analogue scale(VAS),and the bone graft fusion was evaluated by Lenkl subjective assessment before and after operation as well.ResultsDecompression was done on 46 segments and fusion was done on 38 segments in 27 patients.The average number of decompression was 1.7 segments and fusion was 1.4 segments.The mean follow-up was 27 months(12～48 months).Preoperative clinical function by JOA score 13.89 ±3.12 points increased to 24.15 ±3.56 points（P<0.05）,preoperative low back pain by VAS score 7.97 ±1.83 points decreased to postoperative 3.11±0.89 points（P<0.05）,preoperative leg pain by VAS score 8.99±2.27 points decreased to postoperative 1.49±0.38 points（P<0.05）.Lenkl situations for bone graft fusion of grading:A grade,18 cases;B grade,9 cases,meanwhile fusion site adjacent segments degeneration aggravating also did not find signs.ConclusionAccording to the preoperative clinical symptoms,signs and imaging findings in elderly patients with degenerative lumbar spinal stenosis patients to develop “personalized” program of clinical surgery is safe and effective. |
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