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[1]吳青坡,孫國(guó)紹,王林杰.后路椎管減壓聯(lián)合腰椎椎弓根釘動(dòng)態(tài)穩(wěn)定裝置內(nèi)固定 治療單節(jié)段腰椎退行性疾病[J].中醫(yī)正骨,2015,27(10):42-43.
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后路椎管減壓聯(lián)合腰椎椎弓根釘動(dòng)態(tài)穩(wěn)定裝置內(nèi)固定 治療單節(jié)段腰椎退行性疾病()
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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10期
頁(yè)碼:
42-43
欄目:
臨床報(bào)道
出版日期:
2015-10-30

文章信息/Info

作者:
吳青坡孫國(guó)紹王林杰
河南省平頂山市第一人民醫(yī)院,河南 平頂山 467000
關(guān)鍵詞:
椎間盤退行性變 腰椎 椎管狹窄 椎間盤移位 減壓術(shù)外科 椎弓根螺釘動(dòng)態(tài)穩(wěn)定裝置
摘要:
目的:觀察后路椎管減壓聯(lián)合腰椎椎弓根釘動(dòng)態(tài)穩(wěn)定裝置內(nèi)固定治療單節(jié)段腰椎退行性疾病的臨床療效和安全性。方法:2012年4月至2013年5月,采用后路椎管減壓聯(lián)合腰椎椎弓根釘動(dòng)態(tài)穩(wěn)定裝置內(nèi)固定治療單節(jié)段腰椎退行性疾病患者12例,男9例、女3例。年齡48~59歲,中位數(shù)53歲。退行性腰椎管狹窄癥7例,腰椎間盤突出癥5例。病變節(jié)段位于L4~58例、L3~44例。所有患者均經(jīng)3個(gè)月以上的正規(guī)非手術(shù)療法治療后無(wú)效或效果不理想。術(shù)前Oswestry功能障礙指數(shù)69%~88%,中位數(shù)82%。病程7~27個(gè)月,中位數(shù)13個(gè)月。術(shù)后隨訪觀察并發(fā)癥發(fā)生及腰椎功能恢復(fù)情況。結(jié)果:手術(shù)時(shí)間90~125 min,中位數(shù)107 min; 術(shù)中出血量150~270 mL,中位數(shù)205 mL。所有患者均獲得隨訪,隨訪時(shí)間3~6個(gè)月,中位數(shù)5個(gè)月。均無(wú)感染、脊髓神經(jīng)損傷、腦脊液漏、內(nèi)固定物斷裂等并發(fā)癥發(fā)生。術(shù)后Oswestry功能障礙指數(shù)31%~44%,中位數(shù)37%。結(jié)論:采用后路椎管減壓聯(lián)合腰椎椎弓根釘動(dòng)態(tài)穩(wěn)定裝置內(nèi)固定治療單節(jié)段腰椎退行性疾病,手術(shù)創(chuàng)傷小,并發(fā)癥少,有利于腰椎功能的恢復(fù),值得臨床推廣應(yīng)用。

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備注/Memo

備注/Memo:
2015-06-17收稿 2015-08-14修回
通訊作者:吳青坡 E-mail:[email protected]
更新日期/Last Update: 2015-10-30