中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
16期
66-67
,共2页
腰椎管狭窄%后路椎管扩大减压术%椎弓根钉内固定术%椎体间植骨融合术
腰椎管狹窄%後路椎管擴大減壓術%椎弓根釘內固定術%椎體間植骨融閤術
요추관협착%후로추관확대감압술%추궁근정내고정술%추체간식골융합술
Lumbar spinal stenosis%Posterior spinal canal decompression%Pedicle screw fixation%Lumbar interbody fusion
目的:探究腰椎管狭窄的手术治疗。方法选择2007年2月至2012年2月期间我院收治的40例腰椎管狭窄患者,给予后路椎管扩大减压术、椎弓根钉内固定术和椎体间植骨融合术联合治疗,观察临床疗效。结果术后随访6个月~1年,40例患者中,总有效率为92.5%。其中优23例(占57.5%),良14例(占35%),中2例(占5%),差1例(占2.5%)。椎弓根内固定位置较佳,且无松动,X线片显示,椎体间植骨融合率为100%,无复发病例。结论后路椎管扩大减压术对治疗腰椎管狭窄减压彻底有效,同时,给予椎弓根钉内固定术和椎体间植骨融合术,有助于维持脊柱稳定性,保障减压的治疗效果,临床效果确切,预后质量好,值得临床应用和推广。
目的:探究腰椎管狹窄的手術治療。方法選擇2007年2月至2012年2月期間我院收治的40例腰椎管狹窄患者,給予後路椎管擴大減壓術、椎弓根釘內固定術和椎體間植骨融閤術聯閤治療,觀察臨床療效。結果術後隨訪6箇月~1年,40例患者中,總有效率為92.5%。其中優23例(佔57.5%),良14例(佔35%),中2例(佔5%),差1例(佔2.5%)。椎弓根內固定位置較佳,且無鬆動,X線片顯示,椎體間植骨融閤率為100%,無複髮病例。結論後路椎管擴大減壓術對治療腰椎管狹窄減壓徹底有效,同時,給予椎弓根釘內固定術和椎體間植骨融閤術,有助于維持脊柱穩定性,保障減壓的治療效果,臨床效果確切,預後質量好,值得臨床應用和推廣。
목적:탐구요추관협착적수술치료。방법선택2007년2월지2012년2월기간아원수치적40례요추관협착환자,급여후로추관확대감압술、추궁근정내고정술화추체간식골융합술연합치료,관찰림상료효。결과술후수방6개월~1년,40례환자중,총유효솔위92.5%。기중우23례(점57.5%),량14례(점35%),중2례(점5%),차1례(점2.5%)。추궁근내고정위치교가,차무송동,X선편현시,추체간식골융합솔위100%,무복발병례。결론후로추관확대감압술대치료요추관협착감압철저유효,동시,급여추궁근정내고정술화추체간식골융합술,유조우유지척주은정성,보장감압적치료효과,림상효과학절,예후질량호,치득림상응용화추엄。
Objective To explore the operation treatment of lumbar spinal canal stenosis. Methods 40 cases of lumbar spine were treated in our hospital from the 2007 February to 2012 year in February, they were gived the posterior spinal canal decompression, pedicle screw internal fixation and lumbar interbody fusion combined treatment,clinical observation. Results Al the patients were fol owed up for 6 months-1 years, in 40 cases, the total efficiency of 92.5%were excel ent in 23 cases(57.5%), good in 14 cases (35%), 2 cases (5%), poor in 1 cases (2.5%).Pedicle screw fixation position bet er, and no loosening, X-ray film showed,interbody fusion rate was 100%, no recurrence. Conclusion Posterior spinal canal decompression for the treatment of lumbar spinal stenosisdecompression effectively, at the same time, give the pedicle screw fixationand interbody fusion, helps to maintain the stability of the spine, securitydecompression treatment, clinical efficacy, prognosis is good quality, worthy of clinical application and promotion.