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[1]郭明偉,吳強,林松,等.改良經(jīng)皮骨水泥椎間盤成形術(shù)治療高齡腰椎滑脫癥[J].中醫(yī)正骨,2022,34(06):77-80.
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改良經(jīng)皮骨水泥椎間盤成形術(shù)治療高齡腰椎滑脫癥()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年06期
頁碼:
77-80
欄目:
臨床報道
出版日期:
2022-06-20

文章信息/Info

作者:
郭明偉吳強林松苗吉顯畢紅賓
(河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 鄭州 450016)
關(guān)鍵詞:
脊椎滑脫 腰椎 脊柱融合術(shù) 椎間盤 老年人
摘要:
目的:觀察改良經(jīng)皮骨水泥椎間盤成形術(shù)(percutaneous cement discoplasty,PCD)治療高齡腰椎滑脫癥的臨床療效和安全性。方法:2018年4月至2021年4月采用改良PCD治療高齡腰椎滑脫癥患者13例。男4例,女9例。年齡70~86歲,中位數(shù)73歲。Meyerding分級,1度10例、2度3例。滑脫節(jié)段位于L3~L4 1例、L4~L5 4例、L5~S1 8例。記錄骨水泥注入量、手術(shù)時間及手術(shù)前后的椎間隙高度。采用腰部疼痛視覺模擬量表(visual analogue scale,VAS)和Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)問卷表評價臨床療效。觀察術(shù)中及隨訪過程中并發(fā)癥發(fā)生情況。結(jié)果:13例患者均順利完成手術(shù)。骨水泥注入量(8.1±0.5)mL,手術(shù)時間(28±4)min。患者椎間隙高度,術(shù)前(6.13±0.91)mm、術(shù)后1 d(6.93±0.57)mm。所有患者均獲 6個月隨訪。患者腰部疼痛VAS評分,術(shù)前(7.38±1.04)分、術(shù)后1 d(4.15±0.69)分、術(shù)后3個月(2.23±0.44)分; 患者ODI,術(shù)前(56.31±4.99)%、術(shù)后1 d(18.85±3.05)%、術(shù)后3個月(7.31±2.06)%。均未發(fā)生骨水泥滲漏、神經(jīng)血管損傷、椎體骨折等并發(fā)癥。結(jié)論:采用改良PCD治療高齡腰椎滑脫癥,能有效緩解腰部疼痛、改善腰椎功能,且安全性高。

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(收稿日期:2022-01-04 本文編輯:呂寧)

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