CAJ | 학술논문

目的探讨椎弓根钉加椎间植骨治疗腰椎滑脱的护理及效果.方法对39例腰椎滑脱患者采用全椎板减压,椎间植骨加节段性腰椎弓根钉复位内同定术,术前重点做好心理护理,训练指导;术后做好密切观察病情,预防各种并发症,指导患者进行功能锻炼,相应的出院指导,并定期随访.结果术后随访12-30个月,所有患者均获得良好效果,内固定无松动、无脱出、无断裂及椎间植骨移位现象,椎体间完全融合,伤口Ⅰ期愈合术后患者腰腿痛症状基本消失.恢复正常的生活和工作.结论椎弓根钉加椎间植骨融合是治疗腰椎滑脱较理想的方法,围手术期护理对提高患者生活质量,保证手术成功及术后功能的恢复起重要作用.
목적 탐토추궁근정가추간식골치료요추활탈적호리급효과.방법 대39례요추활탈환자채용전추판감압,추간식골가절단성요추궁근정복위내동정술,술전중점주호심리호리,훈련지도;술후주호밀절관찰병정,예방각충병발증,지도환자진행공능단련,상응적출원지도,병정기수방.결과술후수방12-30개월,소유환자균획득량호효과,내고정무송동、무탈출、무단렬급추간식골이위현상,추체간완전융합,상구Ⅰ기유합술후환자요퇴통증상기본소실.회복정상적생활화공작.결론 추궁근정가추간식골융합시치료요추활탈교이상적방법,위수술기호리대제고환자생활질량,보증수술성공급술후공능적회복기중요작용.
Objective To discuss the nursings and the effects of the internal fixation with the screw and the bone graftings between the vertebra on spondylolysis. Metheds 39case with spondylolysis are treated omni-posterior decompression, the bone graftings between the bertehra, and the fixation with the screw. Before the operation, they are well treated the psychological nursing. After the operation, we give close observation over patients' condition, prevent their complications, guide the patients on functional training,and arrange the regular follow-up.Results After12-30 months'visit, we find all the patients are in good conditions:there are on looses, no prolapses, no any fractures between the internal fixation .Even no any shift phenomenon between the vertebra bone graft. The vertebra bone are compltetly merged. The patients'backleg pain symptoms disappeare basically, they resume to the nomal life and work. Conclusions The internal fixation with the screw and the bone graftings between the vertebra, are the good treatment for spondylolysis. Perioperative nursings improves the quality of life of the patients, guarantees the successful operation.