中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2014年
7期
4703-4703
,共1页
下腰椎不稳症%骨科治疗
下腰椎不穩癥%骨科治療
하요추불은증%골과치료
lumbar instability%Department of orthopedics treatment
目的：探讨下腰椎不稳症的骨科治疗。方法：50例下腰椎不稳症患者，其中腰椎峡部裂致脊椎真性滑脱患者15例，退变性腰椎不稳症患者35例。38例患者行手术治疗，包括：有限复位，内固定，植骨融合，后路椎管减压，12例患者行保守治疗。结果：45例患者获随访，时间5～24个月，手术患者优良率82.5%。结论：下腰椎不稳症手术治疗主要为短节段融合术，合并腰突症及退变性腰椎管狭窄症者应同时治疗，下腰椎滑脱症者还须行复位术及内固定术，内固定是手段，融合是目的。
目的：探討下腰椎不穩癥的骨科治療。方法：50例下腰椎不穩癥患者，其中腰椎峽部裂緻脊椎真性滑脫患者15例，退變性腰椎不穩癥患者35例。38例患者行手術治療，包括：有限複位，內固定，植骨融閤，後路椎管減壓，12例患者行保守治療。結果：45例患者穫隨訪，時間5～24箇月，手術患者優良率82.5%。結論：下腰椎不穩癥手術治療主要為短節段融閤術，閤併腰突癥及退變性腰椎管狹窄癥者應同時治療，下腰椎滑脫癥者還鬚行複位術及內固定術，內固定是手段，融閤是目的。
목적：탐토하요추불은증적골과치료。방법：50례하요추불은증환자，기중요추협부렬치척추진성활탈환자15례，퇴변성요추불은증환자35례。38례환자행수술치료，포괄：유한복위，내고정，식골융합，후로추관감압，12례환자행보수치료。결과：45례환자획수방，시간5～24개월，수술환자우량솔82.5%。결론：하요추불은증수술치료주요위단절단융합술，합병요돌증급퇴변성요추관협착증자응동시치료，하요추활탈증자환수행복위술급내고정술，내고정시수단，융합시목적。
To investigate the Department of orthopedics in treatment of lower lumbar spinal instability.Methods:50 cases of lumbar instability patients, including 15 cases of lumbar spondylolysis patients with spinal true spondylolisthesis, degenerative lumbar instability in 35 cases patients. 38 patients underwent operation, including: limited reduction, internal fixation, bone grafting, posterior decompression, 12 patients underwent conservative treatment. Results 45 patients were folowed up for 5 ~ 24 months, time of operation, with the excelent and good rate was 82.5%.Conclusionlumbar instability operation treatment for short segment fusion, combined with lumbar disc hernia ion and degenerative lumbar spinal canal stenos is should be treated at the same time, lower lumbar spondylolisthesis were also underwent reduction and internal fixation, internal fixation methods, fusion is objective.
