目的：了解横突间融合内固定术及椎间融合内固定术对腰椎管狭窄症伴Ⅰ度退行性滑脱患者的治疗效果。方法选取100例腰椎管狭窄症伴Ⅰ度退行性滑脱患者按就诊顺序分为甲组和乙组，每组50例。甲组采用横突间融合内固定术进行治疗，乙组采用椎间融合内固定术进行治疗。对比两组手术时间、出血量、术后并发症及1年后植骨融合率、腰腿VAS评分、滑脱程度。结果甲组手术时间较乙组短（P<0.05）；甲组出血量较乙组少（P<0.05）；两组术后并发症发生率无明显差别（P>0.05）；甲组1年后植骨融合率低于乙组（P<0.05）；两组1年后腰腿VAS评分得分及滑脱程度均无明显差异（P>0.05）。结论横突间融合内固定术治疗腰椎管狭窄症伴Ⅰ度退行性滑脱手术时间短、出血量少，但术后植骨融合率低；椎间融合内固定术虽手术时间较长、出血较多，但术后植骨融合率更高。%Objective To investigate the intertransverse interbody fusion and internal fixation and fusion and internal fixation for lumbar spinal canal stenosis with I treatment effect of degenerative spondylolisthesis patients. Methods 100 cases of lumbar spinal canal stenosis with degreeⅠdegenerative spondylolisthesis patients randomly divided into group A and B group with 50 cases in each group. Group A with intertransverse fusion and internal ifxation for treatment, group B with interbody fusion and internal ifxation for treatment. Comparing the two groups of operative time, bleeding volume, postoperative complications and one year after the fusion rate of bone graft, waist and leg VAS scores, degree of spondylolisthesis. Results In group A than B group operation time is short (P<0.05);group a bleeding is less in group B (P<0.05);two groups of postoperative complication rates were not signiifcantly different (P>0.05);a year after the bone graft fusion rate lower than that of group B (P<0.05);there was no signiifcant difference between the two groups after one year leg VAS score scores and slipping degree (P>0.05). Conclusion The intertransverse fusion and internal ifxation in the treatment of lumbar spinal canal stenosis with degreeⅠdegenerative spondylolisthesis, short operation time, less bleeding, but fusion rate low of bone graft;spinal fusion and internalifxation is a longer operation time, haemorrhage is more, but the postoperative bone graft fusion rate higher.
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