Axis钛合金钢板治疗上胸椎不稳的临床和基础研究 |
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投稿时间:2002-10-18 修订日期:2003-01-24
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作者 | Author | 单位 | Address | E-Mail |
胡勇 |
HU Yong |
浙江省宁波市第六医院骨科,,浙江 宁波 315040 |
Department of Orthopaedics, the 6th of Hospital of Zhejiang, Ningbo ,315040, China |
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薛波 |
XUE Bo |
浙江省宁波市第六医院骨科,,浙江 宁波 315040 |
Department of Orthopaedics, the 6th of Hospital of Zhejiang, Ningbo ,315040, China |
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徐荣明 |
XU Rongming |
浙江省宁波市第六医院骨科,,浙江 宁波 315040 |
Department of Orthopaedics, the 6th of Hospital of Zhejiang, Ningbo ,315040, China |
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毛伟民 |
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浙江省宁波市第六医院骨科,,浙江 宁波 315040 |
Department of Orthopaedics, the 6th of Hospital of Zhejiang, Ningbo ,315040, China |
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校佰平 |
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浙江省宁波市第六医院骨科,,浙江 宁波 315040 |
Department of Orthopaedics, the 6th of Hospital of Zhejiang, Ningbo ,315040, China |
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阮永平 |
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浙江省宁波市第六医院骨科,,浙江 宁波 315040 |
Department of Orthopaedics, the 6th of Hospital of Zhejiang, Ningbo ,315040, China |
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冯建翔 |
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浙江省宁波市第六医院骨科,,浙江 宁波 315040 |
Department of Orthopaedics, the 6th of Hospital of Zhejiang, Ningbo ,315040, China |
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刘文虎 |
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浙江省宁波市第六医院骨科,,浙江 宁波 315040 |
Department of Orthopaedics, the 6th of Hospital of Zhejiang, Ningbo ,315040, China |
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贾连顺 |
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第二军医大学附属长征医院骨科 |
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期刊信息:《中国骨伤》2003年,第16卷,第10期,第587-590页 |
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
基金项目: |
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中文摘要:
目的:观察Axis钛合金钢板治疗上胸椎不稳的近期疗效。
方法:于正常成人胸椎标本上观察胸椎的解剖特点,测量胸椎的进针点、进针角度、深度和直径。临床采用Axis钛合金钢板治疗上胸椎损伤22例。
结果: 不同节段胸椎椎弓根的解剖特点、进针点、进针方向和深度有所不同。无术中血管、神经损伤。22例平均随访10个月,未见钢板螺钉松脱、断裂等并发症。19例获骨性愈合,脊髓功能除2例按Frankel分级为A级者术后无改善,余均有不同程度恢复。
结论:Axis钛合金钢板适合各种原因引起的上胸椎不稳患者的治疗。上胸椎椎弓根固定有一定的风险,但只要熟悉其解剖特点,正确选择进针点、角度和深度,规范操作,此手术是安全的,可获得良好的临床效果。 |
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Clinical and basical investigation on the treatment of superior thoracic vertebral instability with the Axis plate of titanium alloy |
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ABSTRACT
Objective:To observe the curative effect of treatment of superior thoraxic vertebrae instability with the Axis plate of titanium alloy
Methods:The screw pricking point, angle, depth and diameter were measured and defined on the anatomical feature of thoraxic vertebrae. 22 cases of superior thoraxic vertebrae instability suffering from a variety of thoraxic spinal disturbance were treated with the Axis plate of titanium alloy.
Results:The screw prick point,angle,depth and diameter were dissimilar on the different thoraxic vertebral segment. 22 cases were followed up with an average of 10 months. No complication of the injury to the arteries or nerve endings were found. There was no loosening of the plate and screw. There was bone union in 19 cases. The spinal cord function of all patients had improved to different degrees.
Conclusion:The Axis plate of titanium alloy is suitable for the treatment of superior thoraxic vertebral instability. |
KEY WORDS Spinal injuries Anatomy Surgery, operative |
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引用本文,请按以下格式著录参考文献: |
中文格式: | 胡勇,薛波,徐荣明,毛伟民,校佰平,阮永平,冯建翔,刘文虎,贾连顺.Axis钛合金钢板治疗上胸椎不稳的临床和基础研究[J].中国骨伤,2003,16(10):587~590 |
英文格式: | HU Yong,XUE Bo,XU Rongming.Clinical and basical investigation on the treatment of superior thoracic vertebral instability with the Axis plate of titanium alloy[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(10):587~590 |
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