退行性腰椎滑脱患者保守治疗中远期随访研究

Medium and long term follow-up study on conservative treatment of degenerative lumbar spondylolisthesis

关键词:  退行性腰椎滑脱  保守治疗  中远期随访

Key words:  degenerative lumbar spondylolisthesis  conservative treatment  medium and longterm follow-up

摘要:

[目的] 探讨退行性腰椎滑脱症患者保守治疗中远期下腰痛情况。[方法] 对2012-2014年就诊于中国中医科学院望京医院参与"退行性腰椎滑脱症治疗与康复一体化"行业专项课题研究的北京市患者进行回顾性研究。文章回顾性分析79例，治疗后及随访应用视觉模拟评分法（VAS）评分和日本骨科协会评估治疗分数（JOA）评分评估疼痛及腰椎功能情况。随访5~7年，对其中远期下腰痛情况进行探讨。[结果] 随访中57%的患者有再次复发情况，并采取了后续治疗，仅有4例（5%）采取手术治疗；随访期VAS、JOA评分无统计学意义（P>0.05）；多数患者有较为规律的运动习惯。[结论] 退行性腰椎滑脱病情进展较缓慢，保守治疗疗效肯定且随访期状态稳定，规律的锻炼习惯对中老年患者身体状况有益。

Abstract:

[Objective] To evaluate the patients with degenerative spondylolisthesis conservative treatment of low back pain in the medium and long term situation.[Methods] A retrospective study was conducted on Beijing patients who participated in the special project of "Degenerative lumbar spondylolisthesis treatment and rehabilitation integration" in Wangjing Hospital from 2012 to 2014. This retrospective analysis included 79 patients whose JOA score VAS score and lumbar pain and function was assessed after treatment and follow-up. Follow-up 5-7 years,the medium and long term low back pain cases are discussed.[Results] The follow-up in 57% of patients had a recurrence and took follow-up treatment,only four (5%) chosen to surgery. There was no statistical significance on follow-up VAS,JOA score (P>0.05). The majority of patients had more regular exercise habits.[Conclusions] For degenerative lumbar spondylolisthesis,conservative treatment is effective and the follow-up state is stable. The habit of regular exercise is good for the physical condition of elderly patients.