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[1]邵禮暉,潘浩.Coflex棘突間動態(tài)穩(wěn)定系統(tǒng)治療腰椎退變性疾病40例[J].中醫(yī)正骨,2015,27(02):37-39.
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Coflex棘突間動態(tài)穩(wěn)定系統(tǒng)治療腰椎退變性疾病40例()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年02期
頁碼:
37-39
欄目:
臨床報道
出版日期:
2015-02-10

文章信息/Info

作者:
邵禮暉1潘浩2
1.浙江中醫(yī)藥大學,浙江 杭州 310053;
2.浙江省杭州市中醫(yī)院,浙江 杭州 310007
關(guān)鍵詞:
腰椎 椎管狹窄 椎間盤移位 手術(shù)后并發(fā)癥 Coflex棘突間動態(tài)穩(wěn)定系統(tǒng)
摘要:
目的:探討Coflex棘突間動態(tài)穩(wěn)定系統(tǒng)治療腰椎退變性疾病的臨床療效及安全性。方法:采用Coflex棘突間動態(tài)穩(wěn)定系統(tǒng) 治療腰椎退變性疾病患者40例,男19例,女21例; 年齡37~92歲,中位數(shù)65歲。腰椎間盤突出癥12例,腰椎管狹窄24例,腰椎間盤突 出癥合并腰椎管狹窄4例。病變節(jié)段L3~44例,L4~534例,L3~4、L4~52例。 合并骨質(zhì)疏松癥5例。觀察患者術(shù)后癥狀緩解、腰椎功能恢復及并發(fā)癥發(fā)生情況。結(jié)果:本組40例患者均獲隨訪,隨訪時間20~36 個月,中位數(shù)26.5個月。術(shù)后患者癥狀緩解、腰椎功能改善。疼痛視覺模擬評分,術(shù)前(7.6±1.2)分,術(shù)后(3.7±1.0)分 ,末次隨訪時(0.8±0.5)分。Oswestry功能障礙指數(shù)評分,術(shù)前(24.8±4.6)分,術(shù)后(8.6±2.3)分,末次隨訪時 (4.6±1.7)分。日本骨科學會下腰痛評分,術(shù)前(9.4±2.3)分,術(shù)后(22.6±3.4)分,末次隨訪時(26.7±3.5)分 。術(shù)后并發(fā)手術(shù)節(jié)段棘突骨折1例,佩戴硬質(zhì)腰圍進行固定后骨折愈合; 并發(fā)假體松動并向后滑移1例,無明顯癥狀,未行特殊處理 ; 并發(fā)陰莖異常勃起1例,經(jīng)收縮血管和改善微循環(huán)藥物治療后癥狀緩解。結(jié)論:應(yīng)用Coflex棘突間動態(tài)穩(wěn)定系統(tǒng)治療腰椎退變性 疾病,可維持腰椎的穩(wěn)定,有利于癥狀的緩解和腰椎功能的恢復; 但應(yīng)嚴格把握手術(shù)適應(yīng)證、選擇合適的假體,且手術(shù)醫(yī)生應(yīng)具有 熟練的手術(shù)操作能力和相當?shù)氖中g(shù)經(jīng)驗,以減少術(shù)后并發(fā)癥的發(fā)生。

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備注/Memo

備注/Memo:
2014-08-17收稿 2015-01-04修回
通訊作者:潘浩 E-mail:[email protected]
更新日期/Last Update: 2015-02-25