84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]顧洪輝,萬(wàn)雙林,俞捷,等.T-Saw棘突縱割式頸椎管擴(kuò)大成形術(shù)治療 頸椎后縱韌帶骨化[J].中醫(yī)正骨,2013,25(04):63-65.
點(diǎn)擊復(fù)制

T-Saw棘突縱割式頸椎管擴(kuò)大成形術(shù)治療 頸椎后縱韌帶骨化()
分享到:

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年04期
頁(yè)碼:
63-65
欄目:
臨床報(bào)道
出版日期:
2013-04-30

文章信息/Info

作者:
顧洪輝1萬(wàn)雙林2俞捷1馬春雨1程克勤1
1.浙江省杭州市余杭區(qū)中醫(yī)院,浙江 杭州 311106;
2.浙江大學(xué)醫(yī)學(xué)院附屬邵逸夫醫(yī)院,浙江 杭州 310016
關(guān)鍵詞:
骨化后縱韌帶 頸椎 椎管狹窄 T-Saw
摘要:
目的:探討T-Saw棘突縱割式頸椎管擴(kuò)大成形術(shù)治療頸椎后縱韌帶骨化的臨床療效和安全性。方法:2001年1月至2009年8月,采用T-Saw棘突縱割式頸椎管擴(kuò)大成形術(shù)治療頸椎后縱韌帶骨化患者18例,男12例,女6例。年齡32~79歲,中位數(shù)57.5歲。病程4~13個(gè)月,中位數(shù)9.5個(gè)月。術(shù)后隨訪觀察患者的神經(jīng)功能恢復(fù)情況、植骨融合情況和椎管面積。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間7~54個(gè)月,中位數(shù)38.5個(gè)月。采用自體髂骨植骨者7例,采用羥基磷灰石人工骨植骨者11例。2例患者術(shù)后頸椎生理性前凸消失,1例術(shù)后出現(xiàn)C5支配區(qū)感覺麻痹,2例羥基磷灰石人工骨植骨患者發(fā)生植骨塊不融合,未發(fā)生后凸畸形、深部感染及脊髓損傷。術(shù)前JOA評(píng)分(7.31±3.65)分,術(shù)后3個(gè)月JOA評(píng)分(13.50±3.23)分,末次隨訪時(shí)JOA評(píng)分(14.33±2.76)分。手術(shù)后C3~C7節(jié)段椎管面積明顯增加[(199.22±23.20)mm2,(264.32±29.25)mm2,t=13.622,P=0.012;(197.65±21.54)mm2,(268.37±27.81)mm2,t=18.452,P=0.001;(203.57±19.33)mm2,(279.83±34.55)mm2,t=9.771,P=0.028;(205.85±22.57)mm2,(288.92±29.18)mm2,t=11.889,P=0.023;(210.24±21.73)mm2,(275.86±22.48)mm2,t=6.197,P=0.031]。結(jié)論:T-Saw棘突縱割式頸椎管擴(kuò)大成形術(shù)治療頸椎后縱韌帶骨化近中期療效滿意,安全性高。

參考文獻(xiàn)/References:

[1] Hirabayashi K,Satomi K.Operative procedure and results of expansive open-door laminoplasty[J].Spine,1988,13(7):870-876.
[2] Nakano N,Nakano T,Nakano K.Comparison of the results of laminectomy and open-door laminoplasty for cervical spondylotic myeloradiculopathy and ossification of the posterior longitudinal ligament[J].Spine,1988,13(7):792-794.
[3] Tomita K,Kawahara N.The threadwire saw:a new device for cutting bone[J].J Bone Joint Surg,1996,78(12):1915-1917.
[4] Tomita K,Kawahara N,Toribatake Y,et al.Expansive midline T-Saw laminoplasty(modified spinous process-splitting)for the management of cervical myelopathy[J].Spine,1998,23(1):32-37.
[5] Edwards CC 2nd,Heller JG,Silcox DH 3rd.T-Saw laminoplasty for the management of cervical spondylotic myelopathy: clinical and radiographic outcome[J].Spine,2000,25(14):1788-1794.
[6] Komagata M,Nishiyama M,Endo K,et al.Prophylaxis of C5 palsy after cervical expansive laminoplasty by bilateral partial foraminotomy[J].Spine J,2004,4(6):650-655.
[7] 王少波,蔡欽林,黨耕町,等.單開門頸椎管擴(kuò)大術(shù)后第五頸神經(jīng)根麻痹[J].中華骨科雜志,1999,19(12):716-718.
[8] 陳宇,陳德玉,王新偉,等.頸椎后縱韌帶骨化癥后路術(shù)后C5神經(jīng)根麻痹[J].中國(guó)脊柱脊髓雜志,2006,16(11):833-835.

相似文獻(xiàn)/References:

[1]全華山,馬少云,李顯澎.髖關(guān)節(jié)置換術(shù)后異位骨化的特征及相關(guān)因素分析[J].中醫(yī)正骨,2013,25(01):49.
[2]孫偉方,王曄愷,劉曉光,等.血清骨形成蛋白-4水平與異位骨化的關(guān)系研究[J].中醫(yī)正骨,2012,24(06):37.
 SUN Wei-fang*,WANG Ye-kai,LIU Xiao-guang,et al.Study on the relationship between serum bone morphogenetic protein-4 levels and heterotopic ossification[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(04):37.
[3]袁志峰.胸椎后縱韌帶骨化的研究進(jìn)展[J].中醫(yī)正骨,2012,24(07):66.

備注/Memo

備注/Memo:
2013-01-12收稿 2013-02-22修回
更新日期/Last Update: 2013-04-30