Clinical Research More Segmental Lamina Windowing Stealth Expand Surgery And Perioperative Use Of Acetanilide Detumescence Mixture In The Treatment Of Degenerative Lumbar Spinal Stenosis Disease

Objective:To use multiple segmental lamina windowing stealth expand surgery for degeneratie lumbar spinal stenosis disease patients,CT spinal canal measurement analysis and clinical evaluation before and after operation,to explore more segmental lamina windowing stealth expand surgery for degeneratie lumbar spinal stenosis disease clinical curative effect.Clinical comparative observation of postoperative application of traditional Chinese medicine "acetanilide detumescence mixture" impact on patients,in order to explore more segmental lamina windowing stealth expand surgery and perioperative application "acetanilide detumescence mixture" in the treatment of degenerative lumbar spinal stenosis disease of safety and effectiveness,for the treatment of degenerative lumbar spinal stenosis disease to provide clinical basis.Methods:In strict accordance with degenerative lumbar spinal stenosis disease surgery inclusion criteria and exclusion criteria,choose between March 2014 to September 2015 in gansu province hospital spinal bone treated by the third department of 60 patients with degenerative lumbar spinal stenosis disease in this study.To see the doctor order as standard,60 patients with degenerative lumbar spinal stenosis disease were randomly divided into two groups, each group30 cases,all of the 60 patients with multiple segmental fenestration laminectomy augmentation in treatment.Before and after operation, 60 cases of patients with lumbar spinal CT scans,CT scans were measured with Digimizer image analysis software of the lumbar vertebral canal sagittal diameter,vertebral plate spacing,articular process on the inside edge distance,lumbar vertebra tube cross-sectional area,JOA score and VAS score were performed before and after operation for 60 patients,the spinal canal data measured before and after the operation were compared with the results of the clinical score,to analyze multiple segmental lamina windowing stealth expanding technique in the treatment of degenerative lumbar spinal stenosis disease treatment effect.One group of patients after surgery for conventional symptomatic treatment such as anti-inflammatory,rehydration, as surgical treatment group;another group of patients, in addition to the above treatment, surgery after 3 days for Chinese traditional medicine "acetanilide detumescence mixture", as the surgery and traditional Chinese medicine treatment group.Acetanilide detumescence mixture usage: oral, 50 ml/time, 3 times/day, take 4 weeks.Through to the two groups of patients with JOA score and VAS score comparison, analysis "acetanilide detumescence mixture" impact on patients after surgery.On the basis of the above research results and statistical analysis,comprehensive analysis of multiple segmental vertebral lamina windowing stealth expand surgery and perioperative application of acetanilide detumescence mixture in the treatment of degenerative lumbar spinal stenosis disease of safety and effectiveness.Results:To the study of 60 patients before surgery and after surgery, CT scans taken by inputting Digimizer image analysis software,measurement results show that measuring plane of vertebral canal sagittal diameter, vertebral plate spacing and the distance between the upper articular process inside, cross-section of spinal canal, all increase significantly than before,and P <0.05, with statistical significance.Illustrate 60 patients through multiple segmental lamina windowing stealth expand after surgical treatment,originally narrow spinal canal has made full decompression and expand.By comparing VAS score results,based on multiple segmental lamina windowing stealth expand after surgical treatment,two groups of patients with pain of all lighter than before treatment, P < 0.05;and the comparison between the two groups, surgery plus Chinese medicine treatment group is better than surgery treatment group, P < 0.05.According to the results of the JOA score comparison,based on multiple segmental lamina windowing stealth expand after surgical treatment,two groups of patients with functional recovery significantly than before treatment, P < 0.05;according to the two groups of patients before and after treatment for 3months the JOA score, improve the ratio calculated,operation period plus Chinese medicine treatment group is 86.90%,average period surgery treatment group is 80.93%,two groups of patients with multiple segmental lamina windowing stealth to expand the operation period are reaching "optimal" standard after treatment,and surgery plus Chinese medicine treatment group to improve the efficiency is higher than surgery treatment group.Conclusion:Multiple segmental lamina windowing stealth to expand the operation can be fully part of vertebral canal stenosis thoroughly decompression,remove the main clinical symptoms of patients,compared with other surgical procedure, between the spinal stability and adequate decompression, found a better balance,worthy of clinical promotion.At the same time,the combination of traditional Chinese medicine after "acetanilide detumescence mixture" in the treatment of patients with degenerative lumbar spinal stenosis disease and promote postoperative recovery has achieved good effect,compared with the pure by surgical treatment, the curative effect is better,reflects from the aspects of combining traditional Chinese and western medicinetreatment of degenerative lumbar spinal stenosis disease,this is a more safe and reliable treatment.