中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
10期
38-40
,共3页
张维成%麦伟%廖兴华%黄晓魏%方文焕%李智
張維成%麥偉%廖興華%黃曉魏%方文煥%李智
장유성%맥위%료흥화%황효위%방문환%리지
颈椎%人工椎间盘置换%临近节段%活动度%压力
頸椎%人工椎間盤置換%臨近節段%活動度%壓力
경추%인공추간반치환%림근절단%활동도%압력
Cervical vertebrae%Intervertebral disc replacement%Adjacent segments%Range of movement%Pressure
目的 观察人工椎间盘置换对颈椎临近节段活动度及椎间盘内压力的影响.方法 应用人工椎间盘置换术治疗颈椎病患者20例,于术中椎间盘置换前后分别测量临近节段椎间盘内压力,并于术前及术后3个月、半年分别摄颈椎动力位x线片,观察上下临近节段的活动度.结果 人工椎间盘置换术后颈椎临近节段椎间盘内压力较术前无明显变化(P＞0.05),上下临近关节活动度未显著增加(P＞0.05).结论 人工椎间盘置换在治疗颈椎病的同时保留正常的椎间运动而不影响邻近节段,从而防止邻近节段继发性退变.
目的 觀察人工椎間盤置換對頸椎臨近節段活動度及椎間盤內壓力的影響.方法 應用人工椎間盤置換術治療頸椎病患者20例,于術中椎間盤置換前後分彆測量臨近節段椎間盤內壓力,併于術前及術後3箇月、半年分彆攝頸椎動力位x線片,觀察上下臨近節段的活動度.結果 人工椎間盤置換術後頸椎臨近節段椎間盤內壓力較術前無明顯變化(P＞0.05),上下臨近關節活動度未顯著增加(P＞0.05).結論 人工椎間盤置換在治療頸椎病的同時保留正常的椎間運動而不影響鄰近節段,從而防止鄰近節段繼髮性退變.
목적 관찰인공추간반치환대경추림근절단활동도급추간반내압력적영향.방법 응용인공추간반치환술치료경추병환자20례,우술중추간반치환전후분별측량림근절단추간반내압력,병우술전급술후3개월、반년분별섭경추동력위x선편,관찰상하림근절단적활동도.결과 인공추간반치환술후경추림근절단추간반내압력교술전무명현변화(P＞0.05),상하림근관절활동도미현저증가(P＞0.05).결론 인공추간반치환재치료경추병적동시보류정상적추간운동이불영향린근절단,종이방지린근절단계발성퇴변.
Objective To study the efects of cervical intervertebral disc replacemen on the range of movement and pressure change of intervertebral discs at adjacent segments.Methods 20 patients with cervical spondylosis were treated with cervical intervertebral disc replacement.The pressure change of intervertebral discs at adjacent segments were measured in the operation,and dynamical X-rays examination were carried out preoperatively and 3 month and 6 month postoperatively.The range of movement at the adjacent segments were studied.Results There were no significant diferences between pre-operative and post-operative on the range of movement and pressure change of intervertebral discs at adjacent segments(P＞0.05).Conclusion The normal range of movement and pressure of intervertebral discs at the adjacent segments can be saved in the application of cervical intervertebral disc replacement,and then adjacent degeneration can be prevented.
