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[1]毛克政,梅偉,王慶德,等.Dynesys動態(tài)固定系統(tǒng)治療單節(jié)段腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(03):61-63.
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Dynesys動態(tài)固定系統(tǒng)治療單節(jié)段腰椎間盤突出癥()
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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03期
頁碼:
61-63
欄目:
臨床報道
出版日期:
2015-03-30

文章信息/Info

作者:
毛克政梅偉王慶德姜文濤王春萍郭潤棟
河南省鄭州市骨科醫(yī)院,河南 鄭州 450052
關(guān)鍵詞:
椎間盤移位 腰椎 內(nèi)固定器 Dynesys動態(tài)固定系統(tǒng)
摘要:
目的:觀察Dynesys動態(tài)固定系統(tǒng)治療單節(jié)段腰椎間盤突出癥的臨床療效。方法:2011年3月至2012年2月,采用Dynesys動態(tài)固定系統(tǒng)治療單節(jié)段腰椎間盤突出癥患者28例,男16例,女12例。年齡42~72歲,中位數(shù)60歲。L4~5椎間盤突出21例,L5S1椎間盤突出7例。術(shù)后隨訪觀察并發(fā)癥發(fā)生、腰椎疼痛緩解及功能恢復(fù)情況。結(jié)果:手術(shù)切口9~14 cm,中位數(shù)12 cm。手術(shù)時間95~135 min,中位數(shù)110 min。術(shù)中出血量200~400 mL,中位數(shù)330 mL。1例出現(xiàn)硬脊膜破裂,術(shù)中未行修補。所有患者均獲得隨訪,隨訪時間24~33個月,中位數(shù)28個月。2例出現(xiàn)螺釘輕微松動,無明顯臨床癥狀,均未行特殊治療。均無神經(jīng)損傷、切口感染、內(nèi)固定斷裂等并發(fā)癥發(fā)生。術(shù)后6、12、24個月,腰背部疼痛視覺模擬評分由術(shù)前(5.7±2.6)分降至(2.2±0.6)分、(2.2±0.7)分、(2.1±0.6)分,下肢疼痛視覺模擬評分由術(shù)前(5.5±1.3)分降至(0.7±0.5)分、(0.5±0.3)分、(0.4±0.3)分,Oswestry功能障礙指數(shù)由術(shù)前(57.0±18.0)%降至(17.0±5.0)%、(18.0±6.0)%、(15.0±5.0)%,無疼痛步行距離由術(shù)前400 m均升至2000 m以上。結(jié)論:采用Dynesys動態(tài)固定系統(tǒng)治療單節(jié)段腰椎間盤突出癥,能明顯緩解腰腿疼痛癥狀,有利于腰椎功能的恢復(fù),創(chuàng)傷小,并發(fā)癥少,值得臨床推廣應(yīng)用。

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備注/Memo

備注/Memo:
2015-02-10收稿 2015-03-01修回
通訊作者:梅偉 E-mail:[email protected]
更新日期/Last Update: 2015-03-30