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]楊輝,王偉彤,丁龍,等.一期后路脊椎切除鈦網(wǎng)植骨融合內(nèi)固定治療活動期胸腰椎結(jié)核[J].中醫(yī)正骨,2021,33(05):50-53.
 YANG Hui,WANG Weitong,DING Long,et al.Primary posterior vertebral column resection combined with titanium mesh bone graft fusion and internal fixation for treatment of active thoracolumbar tuberculosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(05):50-53.
點(diǎn)擊復(fù)制

一期后路脊椎切除鈦網(wǎng)植骨融合內(nèi)固定治療活動期胸腰椎結(jié)核()
分享到:

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

卷:
第33卷
期數(shù):
2021年05期
頁碼:
50-53
欄目:
臨床報道
出版日期:
2021-05-20

文章信息/Info

Title:
Primary posterior vertebral column resection combined with titanium mesh bone graft fusion and internal fixation for treatment of active thoracolumbar tuberculosis
作者:
楊輝王偉彤丁龍龔智勇張琰譚灝彭霖
(慈利縣人民醫(yī)院,湖南 慈利 427200)
Author(s):
YANG HuiWANG WeitongDING LongGONG ZhiyongZHANG YanTAN HaoPENG Lin
關(guān)鍵詞:
結(jié)核脊柱 胸椎 腰椎 脊柱融合術(shù) 骨移植 內(nèi)固定器
摘要:
目的:觀察一期后路脊椎切除鈦網(wǎng)植骨融合內(nèi)固定治療活動期胸腰椎結(jié)核的臨床療效及安全性。方法:2015年1月至2018年2月,采用一期后路脊椎切除鈦網(wǎng)植骨融合內(nèi)固定治療活動期胸腰椎結(jié)核患者18例。男12例,女6例。年齡25~60歲,中位數(shù)48歲。病變節(jié)段位于胸椎7例、腰椎3例、胸腰段8例。單節(jié)段病變10例,多節(jié)段病變8例。脊髓神經(jīng)損傷情況按照美國脊柱損傷協(xié)會(American Spinal Injury Association,ASIA)分級標(biāo)準(zhǔn),B級1例、C級3例、D級6例、E級8例。病程2~14年,中位數(shù)10年。采用視覺模擬量表(visual analogue scale,VAS)評分評價腰背部疼痛程度,測量病椎Cobb角,觀察植骨融合、脊髓神經(jīng)損傷恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均順利完成手術(shù),術(shù)后切口均甲級愈合。所有患者均獲隨訪,隨訪時間24~30個月,中位數(shù)27個月。植骨均獲得骨性融合,植骨融合時間(7.75±1.76)個月。腰背部疼痛VAS評分,術(shù)前(6.22±1.35)分、術(shù)后1個月(2.23±1.56)分、末次隨訪時(1.39±1.65)分。病椎Cobb角,術(shù)前47.56°±7.13°、術(shù)后1個月12.23°±4.41°、末次隨訪時11.50°±5.09°。脊髓神經(jīng)損傷情況按照ASIA分級,D級8例、E級10例。至末次隨訪時,所有患者均未出現(xiàn)內(nèi)固定物松動、斷裂或脊柱后凸矯正度明顯丟失等并發(fā)癥。結(jié)論:一期后路脊椎切除鈦網(wǎng)植骨融合內(nèi)固定治療活動期胸腰椎結(jié)核,可以緩解腰背部疼痛、矯正脊柱后凸畸形、改善脊髓神經(jīng)功能,且植骨融合率高、并發(fā)癥少。

參考文獻(xiàn)/References:

[1] 張會軍,魯增輝,朱昌生.經(jīng)病椎短釘內(nèi)固定術(shù)治療短節(jié)段脊柱結(jié)核的臨床分析[J].中國矯形外科雜志,2018,26(2):178-181.
[2] CUI X,LI L T,MA Y Z.Anterior and posterior instrumentation with different debridement and grafting procedures for multi-level contiguous thoracic spinal tuberculosis[J].Orthop Surg,2016,8(4):454-461.
[3] 田志國,張建偉,拾坤,等.多平面截骨矯形骨水泥強(qiáng)化椎弓根釘內(nèi)固定治療骨質(zhì)疏松性脊柱后凸畸形[J].中國骨與關(guān)節(jié)損傷雜志,2019,34(7):714-716.
[4] 陳仲強(qiáng),劉忠軍,黨耕町.脊柱外科學(xué)[M].北京:人民衛(wèi)生出版社,2013:10.
[5] PAPPOU I P,PAPADOPOULOS E C,SWANSON A N,et al.Pott disease in the thoracolumbar spine with marked kyphosis and progressive paraplegia necessitating posterior vertebral column resection and anterior reconstruction with a cage[J].Spine(Phila Pa 1976),2006,31(4):E123-E127.
[6] QIAN J,RIJIEPU A,ZHU B,et al.Outcomes of radical debridement versus no debridement for the treatment of thoracic and lumbar spinal tuberculosis[J].Int Orthop,2016,40(10):2081-2088.
[7] LIN T Y,TSAI T T,LU M L,et al.Comparison of two-stage open versus percutaneous pedicle screw fixation in treating pyogenic spondylodiscitis[J].BMC Musculoskelet Disord,2014,15:443.
[8] 羅鵬,方忠,熊偉,等.三種腰椎結(jié)核手術(shù)方式的比較研究[J].頸腰痛雜志,2012,33(1):26-29.
[9] 李衛(wèi)平,荀傳輝,盛偉斌,等.前路病灶清除植骨融合聯(lián)合經(jīng)皮椎弓根螺釘治療胸腰椎結(jié)核[J].實用骨科雜志,2019,25(5):442-445. 中醫(yī)正骨2021年5月第33卷第5期 J Trad Chin Orthop Trauma,2021,Vol.33,No.5(總373)(總374)中醫(yī)正骨2021年5月第33卷第5期 J Trad Chin Orthop Trauma,2021,Vol.33,No.5
[10] OMRAN K,ABDEL-FATTAH A S,OTHMAN A M A,et al.Lateral extracavitary approach versus posterior extensive circumferential decompression in the treatment of complicated thoracic and lumbar tuberculous spondylitis[J].Clin Spine Surg,2017,30(9):E1211-E1219.
[11] ZHANG H Q,LIN M Z,GE L,et al.Surgical management by one-stage posterior transforaminal lumbar debridement,interbody fusion,and posterior instrumentation for lumbo-sacral tuberculosis in the aged[J].Arch Orthop Trauma Surg,2012,132(12):1677-1683.
[12] 李晶,王孝賓,呂國華,等.伴有神經(jīng)損害的兒童胸腰椎朗格漢斯組織細(xì)胞增生癥的手術(shù)治療[J].中國脊柱脊髓雜志,2014,24(11):995-1000.
[13] RAJASEKARAN S,VIJAY K,SHETTY A P.Single-stage closing-opening wedge osteotomy of spine to correct severe post-tubercular kyphotic deformities of the spine:a 3-year follow-up of 17 patients[J].Eur Spine J,2010,19(4):583-592.
[14] 王春國,胡文浩,李靜,等.治療脊柱畸形常用后路截骨術(shù)術(shù)式研究進(jìn)展[J].脊柱外科雜志,2018,16(6):368-374.
[15] CHEN I H,CHIEN J T,YU T C,et al.Transpedicular wedge osteotomy for correction of thoracolumbar kyphosis in ankylosing spondylitis:experience with 78 patients[J].Spine(Phila Pa 1976),2001,26(16):E354-E360.
[16] BAO H,HE S,LIU Z,et al.Will immediate postoperative imbalance improve in patients with thoracolumbar/lumbar degenerative kyphoscoliosis?A comparison between Smith-Petersen osteotomy and pedicle subtraction osteotomy with an average 4 years of follow-up[J].Spine(Phila Pa 1976),2015,40(5):E293-E300.
[17] LIU H,YANG C S,ZHENG Z M,et al.Comparison of Smith-Petersen osteotomy and pedicle subtraction osteotomy for the correction of thoracolumbar kyphotic deformity in ankylosing spondylitis:a systematic review and meta-analysis[J].Spine(Phila Pa 1976),2015,40(8):570-579.
[18] 楊宗強(qiáng),施建黨,牛寧奎,等.后路全脊椎截骨矯形聯(lián)合鈦網(wǎng)支撐治療脊柱結(jié)核角狀后凸畸形的臨床療效觀察[J].骨科,2018,9(6):451-457.
[19] SUK S I,KIM J H,KIM W J,et al.Posterior vertebral column resection for severe spinal deformities[J].Spine(Phila Pa 1976),2002,27(21):2374-2382.
[20] 鄧幼文,呂國華,王冰,等.一期后路VCR技術(shù)治療活動期胸腰段脊柱結(jié)核伴嚴(yán)重后凸畸形[J].中南大學(xué)學(xué)報(醫(yī)學(xué)版),2008,33(9):865-870.
[21] YANG C S,ZHENG Z M,LIU H,et al.Posterior vertebral column resection in spinal deformity:a systematic review[J].Eur Spine J,2016,25(8):2368-2375.

相似文獻(xiàn)/References:

[1]徐幫杰,楊楠,白偉杰,等.坐位定點(diǎn)旋轉(zhuǎn)整復(fù)法治療腰椎間盤突出癥的療效觀察[J].中醫(yī)正骨,2015,27(11):17.
 XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(05):17.
[2]江建春.神經(jīng)根型頸椎病的中醫(yī)藥治療研究概況[J].中醫(yī)正骨,2015,27(11):71.
[3]錢濟(jì)先,高浩然,李存孝,等.后路經(jīng)皮椎弓根螺釘內(nèi)固定聯(lián)合前路病灶清除植骨融合術(shù)治療胸腰椎結(jié)核脊柱后凸畸形[J].中醫(yī)正骨,2014,26(03):33.
[4]費(fèi)駿,賴震,石仕元,等.經(jīng)肋橫突入路病灶清除植骨加后路椎弓根內(nèi)固定治療進(jìn)展性胸椎結(jié)核[J].中醫(yī)正骨,2013,25(06):58.
[5]張志強(qiáng),劉國泰,劉杰,等.施氏整頸三步九法治療頸性眩暈[J].中醫(yī)正骨,2013,25(07):39.
[6]盧中道,楊勇,梅偉,等.一期前路病灶清除植骨內(nèi)固定治療胸腰椎結(jié)核[J].中醫(yī)正骨,2013,25(07):71.
[7]龔星軍,馬文央,王倩芬.牽引配合經(jīng)筋推拿治療頸椎間盤突出癥的臨床研究[J].中醫(yī)正骨,2011,23(03):16.
 GONG Xing-jun*,MA Wen-yang,WANG Qian-fen.*.Clinical study on the treatment of cervical disc herniation through the method of traction combined with muscle meridian manipulation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(05):16.
[8]高仰來.從手法角度探討頸椎病分型的新方法[J].中醫(yī)正骨,2011,23(04):43.
[9]宋永偉.應(yīng)用孫氏旋提手法治療神經(jīng)根型頸椎病[J].中醫(yī)正骨,2011,23(04):67.
[10]宋永偉,鄧文濤.三階段治筋正骨綜合療法治療 復(fù)發(fā)性腰椎間盤突出癥12例[J].中醫(yī)正骨,2011,23(06):61.
[11]郭小偉,梅偉,潘玉林,等.一期后路病灶清除納米仿生骨椎體支撐體植骨融合 內(nèi)固定治療胸腰椎結(jié)核[J].中醫(yī)正骨,2015,27(07):66.
[12]胡金平,費(fèi)駿,羅赟,等.經(jīng)皮椎間孔鏡下病灶清除持續(xù)灌洗治療腰椎結(jié)核[J].中醫(yī)正骨,2017,29(10):60.
[13]呂振超,丁锏,曹向陽,等.后路病灶清除脊柱短縮融合內(nèi)固定術(shù)治療胸腰椎結(jié)核骨缺損[J].中醫(yī)正骨,2018,30(06):74.
[14]何國忠,應(yīng)永生,俞春生,等.前路與后路一期病灶清除植骨內(nèi)固定 治療胸腰椎結(jié)核的Meta分析[J].中醫(yī)正骨,2018,30(08):29.
 HE Guozhong,YING Yongsheng,YU Chunsheng,et al.Primary debridement combined with bone grafting and internal fixation through anterior approach versus posterior approach for treatment of thoracolumbar tuberculosis:a meta analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(05):29.

備注/Memo

備注/Memo:
通訊作者:楊輝 E-mail:[email protected]
更新日期/Last Update: 1900-01-01