| 郭永传,马守战,许浩,等.腰椎滑脱症患者椎旁肌入路术后采用近红外线局部照射的疗效观察.骨科,2015,6(6): 316-319. |
| 腰椎滑脱症患者椎旁肌入路术后采用近红外线局部照射的疗效观察 |
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| 投稿时间：2015-01-20 |
| DOI：10.3969/j.issn.1674-8573.2015.06.010 |
| 中文关键词: 红外线 退行性腰椎滑脱 疼痛测定 |
| 英文关键词: Infrared irradiation Degenerative Spondylolisthesis Pain measurement |
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| 中文摘要: |
| 目的 分析探讨腰椎滑脱症椎旁肌入路术后结合近红外线局部照射的临床效果，为临床应用提供科学依据。方法 2011年3月至2012年3月因为腰椎滑脱症收住开封市中心医院骨科的患者，符合纳选条件的患者随机数字表分为手术组（39例）和近红外线组（33例），手术组实施单纯的椎旁肌入路减压复位内固定手术，近红外线组实施椎旁肌入路减压复位内固定手术，切口拆线后开始实施近红外线局部照射，随访1.5年，记录比较术前及术后1.5年患者视觉模拟疼痛评分（visual analogue scale，VAS）、Oswestry功能障碍指数（Oswestry disability index，ODI）和椎旁肌CT冠状面面积（S值）并计算差值。结果 近红外线组患者术后1.5年VAS评分为（1.46±0.21）分、ODI为0.21±0.17、S值为（4.87±0.27） cm2，与手术组的VAS评分[（3.97±0.39）分]、ODI（0.30±0.24）、S值[（4.36±0.18） cm2]相比，差异均具有统计学意义（均P＜0.01）；近红外线组患者VAS评分、ODI评分、S值术前与术后1.5年的差值分别为（4.42±0.97）分、0.51±0.38、（0.45±0.57） cm2，手术组患者术前与术后1.5年的差值分别为（3.89±1.14）分、0.42±0.61、（1.25±0.40） cm2，两组比较差异均具有统计学意义（均P＜0.01）。结论 椎旁肌入路结合近红外线局部照射是治疗腰椎滑脱症的一种有效方法，值得在临床中推广应用。 |
| 英文摘要: |
| Objective To investigate the clinical effectiveness of the postoperative near-infrared irradiation in the treatment of lumbar spondylolisthesis via the paraspinal muscles approach in order to provide a scientific evidence for clinical application. Methods Lumbar spondylolisthesis patients admitted to our hospital from Mar. 2011 to Mar. 2012, who met the inclusion criteria were randomly divided into 2 groups: surgery group and surgery+infrared group. The patients in surgery group （39 cases） got decompression and internal fixation via the paraspinal muscles approach, and those in surgery+infrared group （33 cases） were treated by the same surgery and local near-infrared radiation after taking out suture. During a follow-up period of 1.5 years, VAS score, ODI score and area of paraspinal muscle in CT coronal scan before and 1.5 years after operation were recorded and analyzed. Results There was statistically significant difference between surgery+infrared group vs. surgery group in VAS score （1.46±0.21 vs. 3.97±0.39）, ODI score （0.21±0.17 vs. 0.30±0.24）, and paraspinal muscles coronal area （4.87±0.27 cm2 vs. 4.36±0.18 cm2） （P<0.01 for all）. There was statistically significant difference in difference of VAS score and ODI score before and 1.5 years after operation in surgery+infrared group （4.42±0.97 and 0.51±0.38） and the surgery group （3.89±1.14 and 0.42±0.61）, and in difference of paraspinal muscles coronal area before and 1.5 years after operation in surgery+infrared group （0.45±0.57） cm2 and surgery group （1.25±0.40） cm2. Conclusion Paraspinal muscle approach combined with near-infrared irradiation of lumbar spondylolisthesis is an effective method. |
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