国际医药卫生导报2019，Vol.25Issue(2)：207-210,4.DOI:10.3760/cma.j.issn.1007-1245.2019.02.012
峡部植骨修补椎弓根钉棒系统内固定治疗腰椎峡部裂的综合护理效果
Treatment of lumbar spondylolysis with the internal fixation of the pedicle screw fixation system
摘要
Abstract
Objective To observe and evaluate the treatment of lumbar spondylolysis with the treatment of isthmus bone grafting combined with pedicle screw system and the clinical effect of comprehensive nursing intervention.Methods Twenty-one patients with lumbar spondylolysis who were admitted to our hospital from January 2017 to May 2018 were treated with isthmus bone grafting and pedicle screw system and perioperative nursing.The clinical effects after treatment and care were observed.Results The operation time was 76-131 min,with the average of (94.8±4.3) min.The intraoperative blood loss was 68-195 ml,with the average of (122.85±11.74) ml.The healing time of bilateral isthmus was 6-12 months,with the average of (7.29±1.85) months.The patients' low back pain VAS score after the internal fixation [(1.28±0.87)] was significantly lower than that before the internal fixation [(5.57±1.39)] (t=4.382 5,P=-0.000 0);the ODI index score after the internal fixation [(10.46±3.18)％] was significantly lower than that before the internal fixation [(64.98±16.06)％] (x 2=19.532 7,P=0.000 0).Evaluation of lumbar spine function Mac Nab:there were 18 excellent cases,accounting for 85.71％ (18/21),3 good cases,accounting for 14.29％ (3/21).The QOL scores of patients with PDM were significantly higher than those before treatment,with statistically significant differences (P＜0.05).18 patients were very satisfied with the nursing [84.51％ (18/21)],and 3 patients were basically satisfied [14.29％ (3/21)].Conclusions The isthmus bone grafting combined with pedicle screw system for the treatment of lumbar spondylolysis and comprehensive nursing intervention can significantly treat lumbar spondylolysis,with isthmus healing well,therefore,low back pain visual analog score and Oswestry dysfunction index score significantly improve,the satisfaction of nursing effectively improve.关键词
腰椎峡部裂/峡部植骨修补/椎弓根钉棒系统内固定/护理干预Key words
Lumbar spondylolysis/Isthmus bone grafting repair/Pedicle screw system internal fixation/Nursing intervention引用本文复制引用
梁晓霞,罗杰多,罗雨桥,黎全猛,容达程,黎桥来..峡部植骨修补椎弓根钉棒系统内固定治疗腰椎峡部裂的综合护理效果[J].国际医药卫生导报,2019,25(2):207-210,4.基金项目
肇庆市科技创新指导类项目(201804030841)Scientific and Technological Innovation Guidance Project of Zhaoqing City (201804030841) （201804030841）
