融合固定术治疗腰椎间盘突出症合并脊柱滑脱的临床效果

廖俊君

[摘要]目的 探讨融合固定术治疗腰椎间盘突出症（LIDP）合并脊柱滑脱的临床效果。方法 选取2016年8月～2018年6月我院接收的80例LIDP合并脊柱滑脱患者作为研究对象，根据治疗方法的不同分为观察组和对照组，每组各40例。对照组接受针灸、按摩、理疗等常规治疗，观察组接受融合固定术治疗。比较两组的临床治疗优良率、视觉模拟量表（VAS）评分、腰椎功能（ODI）评分及不良反应总发生率。结果 观察组的治疗优良率（95.00%）高于对照组（72.50%），VAS评分[（2.58±0.82）分]和ODI评分[（19.59±5.67）分]低于对照组[（4.13±1.05）分，（31.33±6.74）分]，差异均有统计学意义（P<0.05）；两组的不良反应总发生率比较，差异无统计学意义（P>0.05）。结论 融合固定术在LIDP合并脊柱滑脱的治疗中效果显著，能有效减轻患者的疼痛程度，提高腰椎功能，值得临床推广应用。

[关键词]腰椎间盘突出症；免疫反应；针灸；按摩；视觉模拟量表评分

[中图分类号] R274.34 [文献标识码] A [文章编号] 1674-4721（2019）5（a）-0116-03

Clinical effect of fusion fixation in the treatment of lumbar disc herniation combined with spondylolisthesis

LIAO Jun-jun

Department of Orthopedics， Fuzhou First People′s Hospital of Jiangxi Province， Fuzhou 344000， China

[Abstract] Objective To explore the clinical effect of fusion fixation in the treatment of lumbar disc herniation （LIDP） combined with spondylolisthesis. Methods A total of 80 patients with LIDP complicated with spondylolisthesis in our hospital from August 2016 to June 2018 were selected as the research objects， they were divided into observation group and control group， 40 cases in each group， according to the different treatment methods. The control group received routine treatment such as acupuncture， massage and physiotherapy， while the observation group received fusion and fixation. The clinical treatment excellence rate， visual analogue scale （VAS） score， lumbar vertebral function （ODI） score and the total incidence of adverse reactions were compared between the two groups. Results The excellent and good rate of treatment in the observation group （95.00%） was higher than that in the control group （72.50%）， the VAS score （[2.58±0.82] points） and ODI score （[19.59±5.67] points） were lower than that in the control group （[4.13±1.05] points， [31.33±6.74] points）， the differences were statistically significant （P<0.05）. There was no significant difference in the total incidence of adverse reactions between the two groups （P>0.05）. Conclusion Fusion fixation is effective in the treatment of LIDP combined with spondylolisthesis. It can effectively relieve pain and improve lumbar function. It is worthy of clinical application.

[Key words] Lumbar disc herniation； Immune response； Acupuncture； Massage； Visual analogue scale score

腰椎間盘突出症（LIDP）是临床上较为常见的退行性疾病之一，多发于中老年群体，极易引发脊柱滑脱，导致患者腰腿疼痛、活动受限等，给患者的日常生活带来很大的不便[1]。目前，LIDP合并脊柱滑脱的临床治疗以保守疗法为主，有针灸、按摩、理疗等，虽然其安全性较高，但疗效欠佳[2]。融合固定术是一种手术疗法，其对神经刺激较少，术后复发率低，在LIDP合并脊柱滑脱治疗中具有一定的应用价值[3]。本研究以我院收治的80例LIDP合并脊柱滑脱患者为研究对象，探讨融合固定术的治疗效果，现报道如下。