| 靶位注射胶原酶治疗腰椎间盘突出术后复发 |
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投稿时间：2003-06-19
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| 期刊信息：《中国骨伤》2004年，第17卷，第1期，第25-27页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:安徽省卫生厅科研基金资助项目(2002A021) |
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中文摘要:
目的:探讨靶位注射胶原酶治疗腰椎间盘突出术后复发的临床意义。
方法:27例术后复发患者接受注射胶原酶治疗,早期行侧隐窝注射法5例,后期行CT介入靶位注射法16例,CT介入联合靶位注射法6例。
结果:所有患者经6个月～2年随访,优9例,良8例,可5例,差5例,优良率630%,有效率815%;靶位穿刺37次,首次穿刺失败4次(1/9);4例于注射胶原酶后6～13个月复查CT,发现突出物缩小80%～90%。
结论:靶位注射胶原酶溶盘术可与手术互补,适用于腰椎间盘突出术后复发的治疗。 |
| 【关键词】椎间盘移位 术后并发症 胶原酶 注射,硬膜外 |
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| Target-injection of collagenase for the treatment of recurrent postoperative lumbar disc herniation |
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ABSTRACT
Objective:To investigate the clinical significance of the target-injection of collagenase for the treatment of recurrent postoperative lumbar disc herniation.
Methods:27 patients with recurrent lumbar disc herniation at L4,5 to L5S1 were included in this study.The lateral recess injection was applied in 5 cases at early stage,the target-injection method by CT intervention in 16 cases and the combined target-injection method with CT intervention in 6 cases at later period.
Results:All patients were followed up 6 months to 2 years after treatment.9 cases got excellent result,8 cases good,5 cases fair and 5 poor.The excellent and good rate was 63.0% and the effective rate was 81.5%.There were 4 times with the miss of puncture (1/9) on the first time.The CT image showed in 6 to 13 months:The prominence was minified 80% to 90% in 4 cases.
Conclusion:The target-injection of collagenase for intervertebral disk chemolysis may be complementary therapy for recurrent postoperative lumbar disc herniation. |
| KEY WORDS Intervertebral disk displacement Postoperative complications Collagenase Injections,epidural |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈家骅,汤健,查日俊,李元海,刘斌,汪先贵,张健.靶位注射胶原酶治疗腰椎间盘突出术后复发[J].中国骨伤,2004,17(1):25~27 |
| 英文格式: | CHEN Jia-hua,TANG Jian,CHA Ri-jun,LI Yuan-hai,LIU Bin,WANG Xian-gui,ZHANG Jian.Target-injection of collagenase for the treatment of recurrent postoperative lumbar disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(1):25~27 |
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