全椎板减压术与开窗减压术对腰椎管狭窄症患者JOA评分与远期预后的影响
Impact of Total Laminectomy and Fenestration Decompression on JOA Score and Long-Term Prognosis of Patients with Lumbar Spinal Stenosis
杜准 1杜春生 1段伟利 1邓松旺1
作者信息
- 1. 南阳市中医院脊柱一科,河南南阳 473000
- 折叠
摘要
目的 探讨全椎板减压术与开窗减压术对腰椎管狭窄症患者JOA评分与远期预后的影响.方法 将2021年1月至2022年1月我院收治的80例腰椎管狭窄症患者随机分为两组各40例.对照组给予开窗减压术治疗,观察组给予全椎板减压术治疗,比较两组的JOA评分、VAS评分、并发症及远期预后.结果 治疗后,观察组VAS评分低于对照组,JOA评分高于对照组(P＜0.05).观察组并发症发生率为5.0％,低于对照组的20.0％(P＜0.05).随访1年,两组恢复优良率比较差异无统计学意义(P＞0.05).结论 全椎板减压术与开窗减压术在腰椎管狭窄症临床治疗中均可取得理想的远期预后效果,但全椎板减压术可有效降低患者疼痛程度和并发症风险,促进病情恢复.
Abstract
Objective To explore the impact of total laminectomy and fenestration decompression on JOA score and long-term prognosis of patients with lumbar spinal stenosis.Methods 80 patients with lumbar spinal stenosis admitted to our hospital from January 2021 to January 2022 were randomly divided into two groups,with 40 cases in each group.The control group was treated with fenestration decompression,while the observation group was treated with total laminectomy.The JOA score,VAS score,complications and long-term prognosis of the two groups were compared.Results After treatment,the VAS score of the observation group was lower than that of the control group,and the JOA score was higher than that of the control group(P＜0.05).The incidence of complications in the observation group was 5.0％,lower than 20.0％in the control group(P＜0.05).After 1-year follow-up,no statistical difference was found in the excellent recovery rate between the two groups(P＞0.05).Conclusions Both total laminectomy and fenestration decompression can achieve an ideal long-term prognosis in the clinical treatment of lumbar spinal stenosis,but total laminectomy can effectively reduce the pain degree and risk of complications,and promote the recovery of disease.
关键词
腰椎管狭窄症/开窗减压术/全椎板减压术/JOA评分/治疗效果Key words
Lumbar spinal stenosis/Fenestration decompression/Total laminectomy/JOA score/Treatment effect引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据