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]楊振國,王樹強,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):31-34.
點擊復(fù)制

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()
分享到:

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

卷:
第28卷
期數(shù):
2016年05期
頁碼:
31-34
欄目:
臨床報道
出版日期:
2016-05-20

文章信息/Info

作者:
楊振國1王樹強1范杰2曹克奎3董建文1
1.山東中醫(yī)藥大學(xué)第二附屬醫(yī)院,山東 濟南 250001;
2.兗礦集團總醫(yī)院,山東 濟寧 273500;
3.中國人民武裝警察部隊山東省總隊醫(yī)院,山東 濟南 250014
關(guān)鍵詞:
脊柱骨折 骨折壓縮性 脊髓損傷 胸椎 腰椎 骨折固定術(shù)內(nèi) 內(nèi)固定器 骨移植
摘要:
目的:觀察釘棒系統(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的臨床療效和安全性。方法:2010年9月至2013年6月,采用釘棒系統(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患者57例,男36例、女21例。年齡21~62歲,中位數(shù)37歲。損傷椎體,T114例、T1223例、L125例、L25例。脊髓損害按美國脊髓損傷協(xié)會分級,B級1例、C級9例、D級13例、E級34例。術(shù)后隨訪觀察并發(fā)癥發(fā)生、傷椎高度恢復(fù)、后凸畸形糾正、植骨愈合和脊髓神經(jīng)恢復(fù)情況。結(jié)果:所有患者均獲隨訪,隨訪時間6~24個月,中位數(shù)18個月。切口均甲級愈合。均未出現(xiàn)斷釘、斷棒、螺釘松動等并發(fā)癥。術(shù)后4周與末次隨訪時Cobb角分別由術(shù)前22.75°± 6.58°降至5.21°±2.21°、5.33°±2.32°。術(shù)后4周與末次隨訪時傷椎前緣壓縮率分別由術(shù)前(51.45±16.12)%降至(5.25±2.26)%、(5.95±3.48)%; 傷椎后緣壓縮率分別由術(shù)前(27.78±11.44)%降至(4.14±1.65)%、(4.43±2.03)%。末次隨訪時,CT掃描顯示植骨愈合良好; 按美國脊髓損傷協(xié)會分級,B級1例、C級2例、D級8例、E級46例。結(jié)論:采用釘棒系統(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,能有效恢復(fù)椎體高度,糾正后凸畸形,促進(jìn)脊髓神經(jīng)恢復(fù),且并發(fā)癥少,值得臨床推廣應(yīng)用。

參考文獻(xiàn)/References:

[1] 趙金平,黎啟福,黎惠炯.胸腰段多椎體不穩(wěn)定骨折內(nèi)固定方式的選擇[J].中國骨科臨床與基礎(chǔ)研究雜志,2014,6(3):149-153.
[2] 印飛,張紹東,吳小濤,等.短節(jié)段椎弓根螺釘復(fù)位固定傷椎內(nèi)植骨治療Denis B型胸腰椎骨折的影像學(xué)觀察[J].中國脊柱脊髓雜志,2013,23(4):341-346.
[3] Uzumcugil O,Dogan A,Yetis M,et al.Results of two above-one below approach with intermediate screws at the fracture site in the surgical treatment of thoracolumbar burst fractures[J].Kobe J Med Sci,2010,56(2):67-78.
[4] Maynard FM,Bracken MB,Creasey G,et al.International standards for neurological and functional classification of spinal cord injury.American spinal injury association[J].Spinal Cord,1997,35(5):266-274.
[5] 田慧中,李明,王正雷.胸腰椎手術(shù)要點與圖解[M].北京:人民衛(wèi)生出版社,2012:227-231.
[6] Machino M,Yukawa Y,Ito K,et al.Posterior/anterior combined surgery for thoracolumbar burst fractures-posterior instrumentation with pedicle screws and laminar hooks,anterior decompression and strut grafting[J].Spinal Cord,2011,49(4):573-579.
[7] 王森龍,方煜麗,趙偉兒.胸腰段爆裂骨折傳統(tǒng)短節(jié)段與經(jīng)傷椎椎弓根植骨螺釘固定的療效觀察[J].中醫(yī)正骨,2013,25(2):46-48.
[8] 吳樹華,王樹金,王遙偉,等.傷椎單側(cè)置釘治療胸腰椎爆裂骨折[J].臨床骨科雜志,2013,16(1):9-11.
[9] Xu GJ,Fu X,Du CL,et al.Biomechanical comparison of mono-segment transpedicular fixation with short-segment fixation for treatment of thoracolumbar fractures:A finite element analysis[J].Proc Inst Mech Eng H,2014,228(10):1005-1013.
[10] 王廣輝,游嵚,郭坤營,等.后路手術(shù)治療脊柱胸腰段骨折臨床療效觀察[J].當(dāng)代醫(yī)學(xué),2012,18(18):106-107.
[11] Kim GW,Jang JW,Hur H,et al.Predictive factors for a kyphosis recurrence following short-segment pedicle screw fixation including fractured vertebral body in unstable thoracolumbar burst fractures[J].J Korean Neurosurg Soc,2014,56(3):230-236.
[12] 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(6):43-45.
[13] 倫學(xué)剛,李曉敏,張新華.短節(jié)段傷椎內(nèi)固定技術(shù)治療胸腰段椎體骨折的臨床療效觀察[J].中華臨床醫(yī)師雜志:電子版,2014,8(9):1642-1646.
[14] 侯樹勛,史亞民.胸腰椎骨折手術(shù)適應(yīng)證及其遠(yuǎn)期療效觀察[J].中華創(chuàng)傷雜志,2002,18(1):13-15.
[15] Moussazadeh N,Rubin DG,Mclaughlin L,et al.Short-segment percutaneous pedicle screw fixation with cement augmentation for tumor-induced spinal instability[J].Spine Journal,2015,15(7):1609-1617.
[16] 葉春萬,朱敏,甘業(yè)春,等.計算骨喪失量經(jīng)椎弓根打壓植骨治療胸腰椎壓縮性骨折的生物力學(xué)研究與臨床應(yīng)用[J].中國骨與關(guān)節(jié)損傷雜志,2011,26(5):394-397.
[17] Knop C,Fabian HF,Bastian L,et al.Late results of thoracolumbar fractures after posterior instrumentation and transpedicular bone grafting[J].Spine(Phila Pa 1976),2001,26(1):88-99.
[18] Alanay A,Acaroglu E,Yszici,et al.Short-segment pediclc instrumentation of thorscolumhsr burst fractures:does transpedicular intracorporeal grafting prevent early fairure?[J].Iranian J Diabetes & Lipid Disorders,2001,26(2):213-217.

相似文獻(xiàn)/References:

[1]江濤,江林,史俊德,等.動氣針法在踝關(guān)節(jié)骨折術(shù)后中后期康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(11):20.
 JIANG Tao,JIANG Lin,SHI Junde,et al.Application of Dongqi acupuncture(動氣針法)to postoperative rehabilitation in the middle-late period in patients with ankle joint fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(05):20.
[2]王 強.脛腓下聯(lián)合骨牽引配合手法整復(fù)小夾板外固定治療 兒童閉合移位性股骨干骨折[J].中醫(yī)正骨,2015,27(10):15.
[3]全先輝,萬春友,劉磊,等.Taylor空間支架外固定治療脛腓骨開放性骨折[J].中醫(yī)正骨,2015,27(10):30.
[4]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.
[5]袁偉,周曉莉.T形掌指骨微型鋼板內(nèi)固定治療鎖骨近端骨折[J].中醫(yī)正骨,2015,27(10):47.
[6]白晨平.微型鋼板內(nèi)固定治療掌指骨骨折[J].中醫(yī)正骨,2015,27(08):26.
[7]何 濤.帶尾孔髕骨針聯(lián)合纜索內(nèi)固定系統(tǒng)治療閉合性髕骨骨折[J].中醫(yī)正骨,2015,27(08):41.
[8]朱彥昭,申成春,蔣麗娜,等.早期手術(shù)修復(fù)踝關(guān)節(jié)骨折合并的三角韌帶完全斷裂[J].中醫(yī)正骨,2015,27(08):46.
[9]董正超,姚新苗.髕骨骨折的分型及內(nèi)固定治療進(jìn)展[J].中醫(yī)正骨,2015,27(08):58.
[10]李時軍,丁文軍,劉立春.恥骨下支應(yīng)力性骨折1例[J].中醫(yī)正骨,2015,27(08):74.
[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]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.
[13]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.
[14]陳思凱,邢金明.骨水泥強化椎弓根螺釘內(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.
[15]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(05):18.
[16]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.
[17]盛紅楓,謝建毅,石道敏.過伸牽引復(fù)位法結(jié)合經(jīng)皮椎體后凸成形術(shù)治療腰椎壓縮性骨折[J].中醫(yī)正骨,2018,30(07):67.
[18]李永革.過伸復(fù)位聯(lián)合經(jīng)皮椎體后凸成形術(shù)治療椎體后壁破裂的骨質(zhì)疏松性椎體壓縮骨折[J].中醫(yī)正骨,2019,31(07):21.
 LI Yongge.Hyperextension reduction combined with percutaneous kyphoplasty for treatment of osteoporotic vertebral compression fracture with cracked posterior vertebral body wall[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(05):21.
[19]金軍偉,趙剛,胡付立.唑來膦酸靜脈滴注聯(lián)合仙靈骨葆膠囊和醋酸鈣膠囊口服對骨質(zhì)疏松性椎體壓縮骨折經(jīng)皮椎體成形術(shù)后療效和安全性的影響[J].中醫(yī)正骨,2019,31(07):15.
 JIN Junwei,ZHAO Gang,HU Fuli.Influence of intravenous drip infusion of zoledronic acid combined with oral applications of Xianling Gubaocapsules and calcium[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(05):15.
[20]李洪珂,郝申申,董勝利,等.手法復(fù)位聯(lián)合經(jīng)皮椎體成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折的臨床研究[J].中醫(yī)正骨,2020,32(08):6.
 LI Hongke,HAO Shenshen,DONG Shengli,et al.A clinical study of manipulative reduction combined with percutaneous vertebroplasty for treatment of osteoporotic vertebral compression fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(05):6.

備注/Memo

備注/Memo:
通訊作者:董建文 E-mail:[email protected]
更新日期/Last Update: 2016-10-30