国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
14期
39-41
,共3页
叶握球%郑建河%叶育鹏%陈勃华
葉握毬%鄭建河%葉育鵬%陳勃華
협악구%정건하%협육붕%진발화
腰椎退变性疾病%椎板%截骨%内固定%椎弓根螺钉
腰椎退變性疾病%椎闆%截骨%內固定%椎弓根螺釘
요추퇴변성질병%추판%절골%내고정%추궁근라정
Lumbar degenerative diseases%Lamina%Osteotomy%Internal fixation%Pedicel screw
目的 探讨一种新的后路椎板减压方式-腰椎下半椎板揭盖回植法的临床运用效果.方法 30例退行性腰椎疾病患者行后路手术,显露腰双侧椎板后在椎板脊近端大约5~6mm处用骨刀垂直于脊柱的轴线横断椎板,下半椎板游离从而方便后续的减压、融合的手术操作,术毕将修正后的椎板覆盖原位再行周定.结果 手术顺利、无神经损伤等并发症,6个月后复查,所有患者覆盖后的椎板愈合良好,30例中治愈23例,显效5例,有效2例,无效O例,JOA评分术后较术前明显改善(P<0.05).结论 下半椎板揭盖回植技术安全有效,有利于术者进行彻底的神经减压、椎间融合手术操作,回植后后路结构保存,该技术是腰椎疾病后路手术中减压的良好方法.
目的 探討一種新的後路椎闆減壓方式-腰椎下半椎闆揭蓋迴植法的臨床運用效果.方法 30例退行性腰椎疾病患者行後路手術,顯露腰雙側椎闆後在椎闆脊近耑大約5~6mm處用骨刀垂直于脊柱的軸線橫斷椎闆,下半椎闆遊離從而方便後續的減壓、融閤的手術操作,術畢將脩正後的椎闆覆蓋原位再行週定.結果 手術順利、無神經損傷等併髮癥,6箇月後複查,所有患者覆蓋後的椎闆愈閤良好,30例中治愈23例,顯效5例,有效2例,無效O例,JOA評分術後較術前明顯改善(P<0.05).結論 下半椎闆揭蓋迴植技術安全有效,有利于術者進行徹底的神經減壓、椎間融閤手術操作,迴植後後路結構保存,該技術是腰椎疾病後路手術中減壓的良好方法.
목적 탐토일충신적후로추판감압방식-요추하반추판게개회식법적림상운용효과.방법 30례퇴행성요추질병환자행후로수술,현로요쌍측추판후재추판척근단대약5~6mm처용골도수직우척주적축선횡단추판,하반추판유리종이방편후속적감압、융합적수술조작,술필장수정후적추판복개원위재행주정.결과 수술순리、무신경손상등병발증,6개월후복사,소유환자복개후적추판유합량호,30례중치유23례,현효5례,유효2례,무효O례,JOA평분술후교술전명현개선(P<0.05).결론 하반추판게개회식기술안전유효,유리우술자진행철저적신경감압、추간융합수술조작,회식후후로결구보존,해기술시요추질병후로수술중감압적량호방법.
Objective To study the clinical effect of inferior half lamina uncover-recovered technique in posterior surgery of lumbar degenerative diseases.Methods 30 patients with lumbar degenerative diseases were treated with posterior operation.Inferior half lamina was intersected from 5-6 mm distance to upper lamina ridge,so it was convenient for decompression and intervertebral fusion.After that,the intersected lamina was recovered to its former position.Results The operation was applied safely and efficiently.No serious complication was observed.After 6 months followed-up,27 cases were cured,5 cases were notable valid,and 2 cases were valid.The JOA scores of post operation were improved significantly(P<0.05).Conclusion Inferior half lamina uncover-recovered technique is safe,effective and beneficial for nerve root decompression in poster operaperation of lumbar degeneration diseases.