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]韓雷,全仁夫.后路短節(jié)段椎弓根螺釘內(nèi)固定聯(lián)合椎體成形術(shù)治療Ⅲ期Kmmell病[J].中醫(yī)正骨,2018,30(06):47-49.
點(diǎn)擊復(fù)制

后路短節(jié)段椎弓根螺釘內(nèi)固定聯(lián)合椎體成形術(shù)治療Ⅲ期Kümmell病()
分享到:

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

卷:
第30卷
期數(shù):
2018年06期
頁碼:
47-49
欄目:
kümmell病
出版日期:
2018-06-20

文章信息/Info

作者:
韓雷全仁夫
浙江省杭州市蕭山區(qū)中醫(yī)院,浙江 杭州 311201
關(guān)鍵詞:
脊柱骨折 骨質(zhì)疏松性骨折 骨折固定術(shù)內(nèi) 椎體成形術(shù)mmell病
文獻(xiàn)標(biāo)志碼:
A
摘要:
目的:探討后路短節(jié)段椎弓根螺釘內(nèi)固定聯(lián)合椎體成形術(shù)治療Ⅲ期Kümmell病的臨床療效和安全性。方法:2012年1月至2015年1月,采用后路短節(jié)段椎弓根螺釘內(nèi)固定聯(lián)合椎體成形術(shù)治療Ⅲ期Kümmell病患者18例,其中男7例、女11例; 年齡56~72歲,中位數(shù)66歲; 病變節(jié)段位于T114例、T127例,L15例,L22例。病程3~48個(gè)月,中位數(shù)32個(gè)月。分別在術(shù)前、術(shù)后1周及末次隨訪時(shí),采用視覺模擬量表(visual analogue scale,VAS)評分和Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)評價(jià)患者腰背部疼痛程度和脊柱功能,在X線片上測量病椎Cobb角觀察脊柱后凸畸形情況。隨訪觀察并發(fā)癥發(fā)生情況。結(jié)果:18例患者均順利完成手術(shù),手術(shù)時(shí)間0.5~1.5 h,中位數(shù)1 h。均獲隨訪,隨訪時(shí)間18~36個(gè)月,中位數(shù)28個(gè)月。患者腰背部疼痛VAS評分,術(shù)前(8.72±0.41)分,術(shù)后1周(2.32±0.72)分,末次隨訪時(shí)(2.92±0.51)分; ODI,術(shù)前(69.12±2.71)%,術(shù)后1周(21.72±3.14)%,末次隨訪時(shí)(24.15±2.74)%; 病椎Cobb角,術(shù)前18.87°±8.83°,術(shù)后1周8.92°±2.91°,末次隨訪時(shí)10.92°±3.24°。均無骨水泥滲漏、切口感染、鄰椎骨折及椎弓根螺釘松動(dòng)、斷裂等并發(fā)癥發(fā)生。結(jié)論:后路短節(jié)段椎弓根螺釘內(nèi)固定聯(lián)合椎體成形術(shù)治療Ⅲ期Kümmell病,可緩解患者腰背部疼痛、改善脊柱功能、矯正脊柱后凸畸形,安全可靠。

參考文獻(xiàn)/References:

[1] KIM DY,LEE SH,JANG JS,et al.Intravertebral vacuum phenomenon in osteoporotic cmnpression fracture:report of 67 eases,with quantitative evaluation of intravertebral instability[J].J Neurosurg,2004,100(1 Suppl Spine):24-31. [2] 王大川,王峰,王乃國,等.經(jīng)椎弓根椎體內(nèi)植骨治療Ⅲ期Kümmell病[J].中華創(chuàng)傷雜志,2014,16(9):750-754. 中醫(yī)正骨2018年6月第30卷第6期 J Trad Chin Orthop Trauma,2018,Vol.30,No.6(總449) (總450)中醫(yī)正骨2018年6月第30卷第6期 J Trad Chin Orthop Trauma,2018,Vol.30,No.6 [3] LI KC,WONG TU,KUNG FC.Staging of Kümmell's disease[J].J Musculoskel Res,2004,8(1):43-55. [4] CHEN LH,HSIEH MK,LIAO JC,et al.Repeated percutaneous vertebroplasty for refracture of cemented vertebrae[J].Arch Orthop Trauma Surg,2011,131(7):927-933. [5] LEE GW,YEOM JS,KIM HJ,et al.A therapeutic efficacy of the transpedicular intracorporeal bone graft with short-segmental posterior instrumentation in osteonecrosis of vertebral body:a minimum 5-year follow-up study[J].Spine(Phila Pa 1976),2013,38(4):244-250. [6] KATSUMI K,HIRANO T,WATANABE K,et al.Surgical treatment for osteoporotic thoracolumbar vertebral collapse using vertebroplasty with posterior spinal fusion:a prospective multicenter study[J].Int Orthop,2016,40(11):2309-2315. [7] LI KC,LI AF,HSIEH CH,et al.Another option to treat Kümmell's disease with cord compression[J].Eur Spine J,2007,16(9):1479-1487. [8] 蔣協(xié)遠(yuǎn),王大偉.骨科臨床療效評價(jià)標(biāo)準(zhǔn)[M].北京:人民衛(wèi)生出版社,2005. [9] MATZAROGLOU C,GEORGIOU CS,WILKE HJ,et al.Kümmell'sdisease: Is ischemic necrosis or vertebral“microcracking”the first step in the sequence?[J].Med Hypotheses,2013,80(4):505. [10] 李良辰,何登偉,黃文君,等.Kummell病椎體裂隙征發(fā)生機(jī)制的研究進(jìn)展[J].中華骨質(zhì)疏松和骨礦鹽疾病雜志,2015,8(4):363-366. [11] 滕沖,陳維善,李浩,等.Kummell病發(fā)病機(jī)制及影像學(xué)表現(xiàn)[J].國際骨科學(xué)雜志,2012,33(1):55-56. [12] 王根林,楊惠林,姜為民,等.球囊擴(kuò)張椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體骨折后骨壞死[J].中華外科雜志,2010,48(8):593-596. [13] 韓雷,全仁夫,孫觀榮,等.經(jīng)皮椎弓根螺釘結(jié)合傷椎置釘與骨水泥強(qiáng)化治療中老年胸腰椎骨質(zhì)疏松性壓縮骨折的療效比較[J].中華創(chuàng)傷雜志,2017,33(3):213-218. [14] 劉建青,沈炳華,杜偉,等.短節(jié)段雙皮質(zhì)椎弓根螺釘聯(lián)合硫酸鈣骨水泥治療骨質(zhì)疏松性椎體爆裂骨折[J].中華臨床醫(yī)師雜志(電子版),2011,5(4):1114-1117. [15] 韓雷,全仁夫,畢大衛(wèi),等.經(jīng)椎旁肌間隙入路單側(cè)傷椎置釘聯(lián)合短節(jié)段椎弓根螺釘復(fù)位固定治療胸腰椎骨折臨床觀察[J].中華全科醫(yī)師雜志,2014,13(5):393-395. [16] 韓雷,全仁夫,孫觀榮,等.椎旁肌間隙入路結(jié)合傷椎單側(cè)置釘固定治療胸腰椎骨折[J].中國骨傷,2014,27(5):395-399. [17] MATZAROGLOU C,GEORGIOU CS,PANAGOPOULOS A,et al.Kümmell's disease:clarifying the mechanisms and patients'inclusion criteria[J].Open Orthop J,2014,8(9):288-297.

相似文獻(xiàn)/References:

[1]鄧紅軍.硫酸鈣骨水泥椎體成形聯(lián)合后路短節(jié)段椎弓根螺釘 內(nèi)固定治療創(chuàng)傷性胸腰椎骨折[J].中醫(yī)正骨,2015,27(10):35.
[2]李鵬,徐世濤,譚磊.椎旁肌間隙入路傷椎單側(cè)植骨內(nèi)固定治療 單節(jié)段胸腰椎骨折[J].中醫(yī)正骨,2015,27(06):43.
[3]孫德舜,王小鶴,王曉燕,等.氣囊托板復(fù)位配合骨傷復(fù)元湯口服治療 胸腰椎單純壓縮骨折[J].中醫(yī)正骨,2015,27(05):65.
[4]郭世明,石玲玲,郭志民,等.手法復(fù)位石膏外固定和切開復(fù)位鋼板內(nèi)固定治療 骨質(zhì)疏松性橈骨遠(yuǎn)端骨折的比較研究[J].中醫(yī)正骨,2015,27(04):15.
 GUO Shiming,SHI Lingling,GUO Zhimin,et al.A comparative study of manual reduction and plaster external fixation versus open reduction and plate internal fixation for treatment of osteoporotic distal radius fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):15.
[5]武祥仁,胡海濤,茅祖斌.經(jīng)椎旁肌間隙入路傷椎植骨內(nèi)固定治療 無神經(jīng)損傷的胸腰椎骨折[J].中醫(yī)正骨,2015,27(03):56.
[6]劉杰,朱小龍,石晨.手法復(fù)位聯(lián)合經(jīng)皮椎體后凸成形術(shù)治療胸腰椎壓縮性骨折[J].中醫(yī)正骨,2016,28(05):28.
[7]楊振國,王樹強(qiáng),范杰,等.釘棒系統(tǒng)復(fù)位內(nèi)固定聯(lián)合經(jīng)椎弓根撬撥植骨術(shù)治療胸腰椎壓縮性骨折[J].中醫(yī)正骨,2016,28(05):31.
[8]陳思凱,邢金明.骨水泥強(qiáng)化椎弓根螺釘內(nèi)固定治療老年胸腰椎壓縮性骨折[J].中醫(yī)正骨,2016,28(05):35.
[9]徐無忌,劉曉嵐.體位復(fù)位結(jié)合經(jīng)皮椎體成形術(shù)與經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折的對比研究[J].中醫(yī)正骨,2016,28(07):20.
 XU Wuji,LIU Xiaolan.Effect of Qianggu Yin(強(qiáng)骨飲,QGY)on bone microstructure in the ovariectomized osteoporosis rats[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(06):20.
[10]孫彥鵬,史相欽,馬虎升,等.小開窗減壓短力臂傷椎置釘復(fù)位內(nèi)固定術(shù)治療胸腰椎爆裂性骨折[J].中醫(yī)正骨,2016,28(11):26.
[11]許兵,葉小雨,王蕭楓,等.小管徑經(jīng)皮椎體后凸成形術(shù)治療 骨質(zhì)疏松性椎體重度壓縮骨折[J].中醫(yī)正骨,2015,27(11):29.
[12]謝小利,李曉程.經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體 壓縮骨折的圍手術(shù)期護(hù)理[J].中醫(yī)正骨,2015,27(05):79.
[13]李格,梅偉,劉沛霖,等.骨質(zhì)疏松性椎體壓縮骨折經(jīng)皮椎體成形術(shù)后鄰近椎體再骨折的危險(xiǎn)因素探討[J].中醫(yī)正骨,2016,28(06):18.
 LI Ge,MEI Wei,LIU Peilin,et al.Investigation on risk factors for adjacent vertebral refractures after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(06):18.
[14]張旭橋,王曉暉,黃光明,等.生骨膠囊在經(jīng)皮椎體強(qiáng)化術(shù)治療老年骨質(zhì)疏松性胸腰椎骨折中的應(yīng)用研究[J].中醫(yī)正骨,2016,28(11):21.
 ZHANG Xuqiao,WANG Xiaohui,HUANG Guangming,et al.Application of Shenggu Jiaonang(生骨膠囊)to the treatment of osteoporotic thoracolumbar vertebral fractures in the aged who received percutaneous vertebral augmentation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(06):21.
[15]張 濤.常規(guī)抗骨質(zhì)疏松療法聯(lián)合脈沖射頻術(shù)和銀質(zhì)針?biāo)山庑g(shù)治療骨質(zhì)疏松性椎體壓縮骨折[J].中醫(yī)正骨,2017,29(04):74.
[16]王建民,李華東,王振東.溫針灸結(jié)合補(bǔ)陽還五湯口服治療骨質(zhì)疏松性椎體壓縮骨折經(jīng)皮椎體后凸成形術(shù)后殘留痛[J].中醫(yī)正骨,2017,29(11):69.
[17]羅科鋒,蔡凱文,盧斌,等.礦化膠原-聚甲基丙烯酸甲酯骨水泥經(jīng)皮椎體后凸成形術(shù)治療Ⅰ、Ⅱ期Kmmell病的臨床研究[J].中醫(yī)正骨,2018,30(06):4.
 LUO Kefeng,CAI Kaiwen,LU Bin,et al.A clinical study of percutaneous kyphoplasty with mineralized collagen-polymethylmethacrylate bone cement for treatment of phaseⅠandⅡKmmell's diseases[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(06):4.
[18]王慶德,梅偉,張振輝,等.經(jīng)椎弓根打壓植骨與經(jīng)后路椎體次全切除治療Ⅲ期Kmmell病的對比研究[J].中醫(yī)正骨,2018,30(06):15.
 WANG Qingde,MEI Wei,ZHANG Zhenhui,et al.A comparative study of transpedicular impaction bone grafting versus subtotal vertebrectomy through posterior approach for treatment of phaseⅢKmmell's diseases[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(06):15.
[19]陳雯,馬俊明,莫文.骨水泥聯(lián)合Genex人工骨經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松性胸腰椎壓縮性骨折[J].中醫(yī)正骨,2018,30(06):40.
[20]賴歐杰,胡勇,袁振山,等.傷椎椎體成形聯(lián)合后路融合固定術(shù)治療Ⅲ期Kmmell病[J].中醫(yī)正骨,2018,30(06):70.

更新日期/Last Update: 2018-10-30