• 医学文献
  • 知识库
  • 评价分析
  • 全部
  • 中外期刊
  • 学位
  • 会议
  • 专利
  • 成果
  • 标准
  • 法规
  • 临床诊疗知识库
  • 中医药知识库
  • 机构
  • 作者
热搜词:
换一批
论文 期刊
取消
高级检索

检索历史 清除

医学文献 >>
  • 全部
  • 中外期刊
  • 学位
  • 会议
  • 专利
  • 成果
  • 标准
  • 法规
知识库 >>
  • 临床诊疗知识库
  • 中医药知识库
评价分析 >>
  • 机构
  • 作者
热搜词:
换一批

传统开放减压与单侧开窗潜行减压手术治疗双侧椎管狭窄的临床疗效对比

The comparison of the clinical efficacy of traditional open surgical decompression and unilateral fenestration decompression in the treatment of bilateral spinal stenosis

摘要:

目的 比较不同减压术式治疗双侧椎管狭窄的临床疗效及安全性.方法 将本院骨科2015年1月至2016年3月收治的82例双侧椎管狭窄患者随机分为两组,对照组(40例)采用传统开放减压手术方法治疗,观察组(42例)采用单侧开窗潜行减压治疗.比较两组患者的手术指标及临床疗效的差异.结果 观察组患者手术时间、术中出血量、术后引流量、术后3d肌酸激酶水平分别为(101.4±36.2)min、(167.3±64.8) ml、(96.5±77.4) ml、(188.12±15.26) U/L,对照组分别为(136.1±46.5) min、(385.3±166.7)ml、(312.9±137.9)ml、(251.23±17.86)U/L,观察组手术指标明显优于对照组(P<0.05);观察组患者术后下床时间和平均住院时间分别为(2.2±0.4)d、(5.5±3.8)d,明显短于对照组的(4.3±3.3)d、(7.7±5.5)d,差异有统计学意义(P<0.05);两组患者术后3个月的VAS评分和ODI评分较治疗前均有所改善(P<0.05),且观察组明显优于对照组(P<0.05).结论 单侧开窗潜行减压治疗双侧椎管狭窄症疗效显著,手术创伤小、术后康复快,具有较高的临床推广价值.

更多
abstracts:

Objective To compare the clinical efficacy and safety of different decompression in the treatment of bilateral spinal stenosis.Methods 82 cases of bilateral spinal stenosis in our hospital from January 2015 to March 2016 were randomly divided into two groups,control group (40 cases) was treated with traditional open surgical decompression,while observation group (42 cases) was treated with unilateral fenestration decompression.Compared the differences of operation indexes and clinical efficacy between two groups.Results The operation time,blood loss during operation,drainage volume after operation,creatine kinase level 3 d after operation of observation group were (101.4±36.2)min,(167.3±4.8)ml,(96.5±77.4)ml,(188.12±15.26)U/L,and those of control group were (136.1±46.5)min,(385.3±166.7)ml,(312.9±137.9)ml,(251.23±17.86)U/L,the operation indexes of observation group were significantly better than those of control group (P<0.05).The postoperative bed time and average hospital stay of observation group were (2.2±0.4)d,(5.5±3.8)d,obviously shorter than (4.3±3.3)d,(7.7±5.5)d of control group,with statistically significant differences (P<0.05).VAS score and ODI score of two groups significantly improved 3 months after operation (P<0.05),and those of observation group were better than those of control group (P<0.05).Conclusion Unilateral fenestration decompression has significant effect in the treatment of bilateral spinal stenosis,with less trauma and faster recovery,which has high clinical value.

More
  • 浏览:138
  • 下载:8

加载中!

相似文献

  • 中文期刊
  • 外文期刊
  • 学位论文
  • 会议论文

加载中!

加载中!

加载中!

加载中!

扩展文献

特别提示:本网站仅提供医学学术资源服务,不销售任何药品和器械,有关药品和器械的销售信息,请查阅其他网站。

  • 客服热线:4000-115-888 转3 (周一至周五:8:00至17:00)

  • |
  • 客服邮箱:yiyao@wanfangdata.com.cn

  • 违法和不良信息举报电话:4000-115-888,举报邮箱:problem@wanfangdata.com.cn,举报专区

官方微信
万方医学小程序
new翻译 充值 订阅 收藏 移动端

官方微信

万方医学小程序

使用
帮助
Alternate Text
调查问卷