颈腰痛杂志
頸腰痛雜誌
경요통잡지
2013年
5期
387-390
,共4页
贺瑞%张文志%尚希福%许翔%胡业丰%罗正亮%葛畅%段丽群%李旭%程鹏
賀瑞%張文誌%尚希福%許翔%鬍業豐%囉正亮%葛暢%段麗群%李旭%程鵬
하서%장문지%상희복%허상%호업봉%라정량%갈창%단려군%리욱%정붕
腰椎%术后%复发%融合%植骨%钽金属
腰椎%術後%複髮%融閤%植骨%鐽金屬
요추%술후%복발%융합%식골%단금속
lumbar vertebra%postoperative%recurrent%fusion%bone graft%tantalum
目的：探讨钽金属椎间融合器在腰椎间盘突出症术后椎间盘复发二次手术椎间融合的效果，分析其可行性。方法2009-09-2010-04月22例，男8例，女14例，年龄34～67岁，平均62.3岁，所有患者均采用经关节突入路椎体间融合(TLIF)，术中钉棒系统国产14例，进口8例。所有患者均使用切除椎板骨质和关节突切除骨质作为植骨材料，未再另行取骨。术后每月随访一次，全部行X线检查，部分患者行CT检查，了解内固定位置和融合器位置以及椎间植骨融合情况，评价其融合效果。结果所有患者均顺利完成手术，不适症状均明显改善，所有患者无钉棒断裂，无椎间融合器下沉，术后X线随访椎间植骨融合平均4.6月。术中1例椎间融合器断裂术后无不适，4月后X线显示位置正常，椎间植骨融合。结论钽金属椎间融合系统治疗腰椎间盘突出术后复发，特别是全椎板切除术后的患者具有植骨量少，融合快，并发症少等优点。
目的：探討鐽金屬椎間融閤器在腰椎間盤突齣癥術後椎間盤複髮二次手術椎間融閤的效果，分析其可行性。方法2009-09-2010-04月22例，男8例，女14例，年齡34～67歲，平均62.3歲，所有患者均採用經關節突入路椎體間融閤(TLIF)，術中釘棒繫統國產14例，進口8例。所有患者均使用切除椎闆骨質和關節突切除骨質作為植骨材料，未再另行取骨。術後每月隨訪一次，全部行X線檢查，部分患者行CT檢查，瞭解內固定位置和融閤器位置以及椎間植骨融閤情況，評價其融閤效果。結果所有患者均順利完成手術，不適癥狀均明顯改善，所有患者無釘棒斷裂，無椎間融閤器下沉，術後X線隨訪椎間植骨融閤平均4.6月。術中1例椎間融閤器斷裂術後無不適，4月後X線顯示位置正常，椎間植骨融閤。結論鐽金屬椎間融閤繫統治療腰椎間盤突齣術後複髮，特彆是全椎闆切除術後的患者具有植骨量少，融閤快，併髮癥少等優點。
목적：탐토단금속추간융합기재요추간반돌출증술후추간반복발이차수술추간융합적효과，분석기가행성。방법2009-09-2010-04월22례，남8례，녀14례，년령34～67세，평균62.3세，소유환자균채용경관절돌입로추체간융합(TLIF)，술중정봉계통국산14례，진구8례。소유환자균사용절제추판골질화관절돌절제골질작위식골재료，미재령행취골。술후매월수방일차，전부행X선검사，부분환자행CT검사，료해내고정위치화융합기위치이급추간식골융합정황，평개기융합효과。결과소유환자균순리완성수술，불괄증상균명현개선，소유환자무정봉단렬，무추간융합기하침，술후X선수방추간식골융합평균4.6월。술중1례추간융합기단렬술후무불괄，4월후X선현시위치정상，추간식골융합。결론단금속추간융합계통치료요추간반돌출술후복발，특별시전추판절제술후적환자구유식골량소，융합쾌，병발증소등우점。
Objective To assess the treatment effect and feasibility of lumbar interbody fusion with titanium cage for recurrent lumbar disc herniation. Methods Twenty-two patients (8 males, 14 females;average 62.3 years old,ranged from 34 to 67) with recurrent lumbar disc herniation af-ter decompression were recruited from September 2009 to April 2010. All patients were treated with transforaminal posterior lumbar interbody fusion (TLIF),and domestic nail-stick systems were applied in 14 patients,imported in 8 patients. Intervertebral bone grafting was the resection part of the vertebral lamina and articular process. All patients were observed every month by X-ray and partially by CT. The outcomes were evaluated by intervertebral bony fusion and location of internal fixation and cage. Results Each operation was successfully completed,and the postoperative symp-toms were significantly improved. There was no cage subsidence and broken nail-stick in the pa-tients,and all patients got bony fusion of the fixation segments within 4.6 months. One patient with cage broken showed no postoperative discomfort,and X-ray showed bony fusion and no cage dis-placement 4 months after operation. Conclusion The lumbar interbody fusion with the tantalum cage in the treatment of recurrent lumbar disc herniation after decompression especially for total laminectomy has the advantage of less bone grafts,quicker bony fusion,and less complications.
