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[1]呂成國,楊勇,梅偉,等.后路Quadrant通道下鎖孔髓核摘除術(shù)治療單節(jié)段頸椎間盤突出癥[J].中醫(yī)正骨,2018,30(07):73-75.
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后路Quadrant通道下鎖孔髓核摘除術(shù)治療單節(jié)段頸椎間盤突出癥()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年07期
頁碼:
73-75
欄目:
臨床報(bào)道
出版日期:
2018-07-20

文章信息/Info

作者:
呂成國楊勇梅偉孫宜保范富有曾昭峰
(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 頸椎 椎間盤切除術(shù)經(jīng)皮 外科手術(shù)微創(chuàng)性 Quadrant通道 鎖孔
摘要:
目的:觀察后路Quadrant通道下鎖孔髓核摘除術(shù)治療單節(jié)段頸椎間盤突出癥的臨床療效及安全性。方法:2015年4月至2016年4月,采用后路Quadrant通道下鎖孔髓核摘除術(shù)治療單節(jié)段頸椎間盤突出癥患者14例。男9例,女5例。年齡31~43歲,中位數(shù)39.5歲。病變節(jié)段位于C4~55例、C5~67例、C6~72例。病程2.5~5.7年,中位數(shù)3.5年。術(shù)后隨訪觀察頸部疼痛緩解、頸椎功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:14例患者中1例因出現(xiàn)腦血管疾病而脫落,其余13例均獲隨訪,隨訪時(shí)間21~33個(gè)月,中位數(shù)27個(gè)月。2例末梢神經(jīng)功能恢復(fù)不良,1例偶有頸部疼痛癥狀,均經(jīng)電針等治療后好轉(zhuǎn)。13例患者均未出現(xiàn)切口感染及脊髓神經(jīng)損傷。頸部疼痛視覺模擬量表評分,術(shù)前(6.01±1.21)分、術(shù)后6個(gè)月(2.23±0.63)分、術(shù)后12個(gè)月(2.23±0.63)分。日本骨科學(xué)會頸椎病功能評定量表(17分法)評分,術(shù)前(11.35±1.51)分、術(shù)后6個(gè)月(15.02±0.63)分、術(shù)后12個(gè)月(15.79±0.71)分。結(jié)論:后路Quadrant通道下鎖孔髓核摘除術(shù)治療單節(jié)段頸椎間盤突出癥,可以緩解頸部疼痛、促進(jìn)頸椎功能恢復(fù),且安全性較高,值得臨床推廣應(yīng)用。

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備注/Memo

備注/Memo:
通訊作者:楊勇 E-mail:[email protected]
更新日期/Last Update: 2018-11-30