中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
12期
61-62
,共2页
多节段椎间盘突出症并腰椎不稳%后路减压%椎体间植骨融合%钉棒系统内固定术
多節段椎間盤突齣癥併腰椎不穩%後路減壓%椎體間植骨融閤%釘棒繫統內固定術
다절단추간반돌출증병요추불은%후로감압%추체간식골융합%정봉계통내고정술
Multi-segment disc herniation%Posterior decompression%Bone grafting fusion%Internal fixation
目的：通过临床手术，综合分析在对患有多节段腰椎间盘突出症患者进行治疗的过程中，采用钉棒系统内固定以及腰椎后路减压的办法，并结合使用椎体间融合器植骨融合的手段，揭示了使用以上的手术方法对多节段腰椎间盘突出症进行手术后的实际效果。方法使用钉棒系统内固定、腰椎后路全椎板减压、椎间盘切除加椎间融合器植骨融合内固定的手术方法，对84例患有腰椎邻近多节段椎间盘突出症的患者进行手术，随机分为观察组和对照组各42例。对照组施行单纯减压，观察组施行经后路减压椎间融合内固定术治疗。并对其进行术后的临床效果的回访记录与其术前的病症及治疗记录做分析研究。结果观察组患者治总有效率(95.23%)，在术后的疗效要明显优于对照组(73.80%)，两组比较差异有统计学意义(P<0.05)。结论采用钉棒系统内固定、腰椎后路全椎板减压、椎间盘切除术和融合器椎间植骨融合内固定术对于相邻多节段椎间盘突出症具有非常显著的疗效。
目的：通過臨床手術，綜閤分析在對患有多節段腰椎間盤突齣癥患者進行治療的過程中，採用釘棒繫統內固定以及腰椎後路減壓的辦法，併結閤使用椎體間融閤器植骨融閤的手段，揭示瞭使用以上的手術方法對多節段腰椎間盤突齣癥進行手術後的實際效果。方法使用釘棒繫統內固定、腰椎後路全椎闆減壓、椎間盤切除加椎間融閤器植骨融閤內固定的手術方法，對84例患有腰椎鄰近多節段椎間盤突齣癥的患者進行手術，隨機分為觀察組和對照組各42例。對照組施行單純減壓，觀察組施行經後路減壓椎間融閤內固定術治療。併對其進行術後的臨床效果的迴訪記錄與其術前的病癥及治療記錄做分析研究。結果觀察組患者治總有效率(95.23%)，在術後的療效要明顯優于對照組(73.80%)，兩組比較差異有統計學意義(P<0.05)。結論採用釘棒繫統內固定、腰椎後路全椎闆減壓、椎間盤切除術和融閤器椎間植骨融閤內固定術對于相鄰多節段椎間盤突齣癥具有非常顯著的療效。
목적：통과림상수술，종합분석재대환유다절단요추간반돌출증환자진행치료적과정중，채용정봉계통내고정이급요추후로감압적판법，병결합사용추체간융합기식골융합적수단，게시료사용이상적수술방법대다절단요추간반돌출증진행수술후적실제효과。방법사용정봉계통내고정、요추후로전추판감압、추간반절제가추간융합기식골융합내고정적수술방법，대84례환유요추린근다절단추간반돌출증적환자진행수술，수궤분위관찰조화대조조각42례。대조조시행단순감압，관찰조시행경후로감압추간융합내고정술치료。병대기진행술후적림상효과적회방기록여기술전적병증급치료기록주분석연구。결과관찰조환자치총유효솔(95.23%)，재술후적료효요명현우우대조조(73.80%)，량조비교차이유통계학의의(P<0.05)。결론채용정봉계통내고정、요추후로전추판감압、추간반절제술화융합기추간식골융합내고정술대우상린다절단추간반돌출증구유비상현저적료효。
Objective Through the clinical operation, comprehensive analysis the process of multi segmental lumbar disc herniation were treated,Using the screw rod system fixation and posterior lumbar decompression method, and combined with the use of interbody fusion cage implant bone fusion method, reveals the actual effect of operation of using the above methods of operation for multi segmental lumbar disc herniation. Methods The use of screw rod system fixation, posterior lumbar laminectomy, discectomy with interbody fusion with bone graft fusion and internal fixed operation method, operation on 84 patients with multi segmental lumbar adjacent intervertebral disc herniation, were randomly divided into observation group and control group with 42 cases in each group. The control group received simple decompression,the observation group treated by posterior decompression of intervertebral fusion internal fixation surgery treatment. Analysis and research of postoperative of eview records of clinical effects and preoperative symptoms and treatment records. Results The total efficiency of the patients in the observation group (95.23%) was significantly better than the control group (73.80%) in the efficacy of postoperative.The differences between two groups were statisticallisignificance (P <O.05). Conclusion Usingscrewrods ystemfixa tion,posterior lumbarlaminectomy,discectomy andf usioncageinte rb odyfusionandinternalfixationhas obviouscurativeeffectfortheadjacentmultisegmentallumbardischerniation.
