| Coflex治疗腰椎间盘突出症近期并发症分析及相关对策 |
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投稿时间：2010-12-10
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| 作者 | Author | 单位 | Address | E-Mail |
| 徐丁 |
XU Ding |
上虞市人民医院骨科, 浙江 上虞 312000 |
Department of Orthopaedics, People's Hospital of Shangyu City, Shangyu 312000, Zhejiang, China |
xuding831129@126.com |
| 徐华梓 |
XU Hua-zi |
温州医学院附属第二医院 |
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| 吴立军 |
WU Li-jun |
温州医学院 |
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| 季烈峰 |
JI Lie-feng |
上虞市人民医院骨科, 浙江 上虞 312000 |
Department of Orthopaedics, People's Hospital of Shangyu City, Shangyu 312000, Zhejiang, China |
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| 池永龙 |
CHI Yong-long |
温州医学院附属第二医院 |
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| 期刊信息：《中国骨伤》2011年，第24卷，第4期，第273-276页 |
| DOI：10.3969/j.issn.1003-0034.2011.04.002 |
| 基金项目:国家自然科学基金项目(编号：30970702) |
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中文摘要:
目的：分析Coflex治疗腰椎间盘突出症近期疗效及并发症的发生原因并为其防治提供依据。
方法：对2007年11月至2008年8月行Coflex动态固定系统治疗的37例腰椎间盘突出症患者进行随访, 男20例, 女17例；年龄33～70岁, 平均52岁；病史6～50个月, 平均16.5 个月。通过JOA和Oswestry功能障碍指数(ODI)对患者手术前后临床症状进行评价, 观察其疗效及并发症。
结果：所有患者获得随访, 时间1～2年, 平均20个月。腰椎JOA评分从术前(9.09±1.10)分增加到了(25.40±1.20)分(末次随访).ODI从术前(24.70±4.80)分降至(4.80±1.00)分(末次随访).VAS评分从术前(7.86±0.80)分减少到(3.20±0.50)分(末次随访), 患者症状明显改善。出现并发症4例, 其中腰痛1例, 对侧下肢痛1例, Coflex松动1例, Coflex断裂1例。
结论：Coflex治疗腰椎间盘突出症可取得满意的近期临床效果, 但也有其特殊的近期并发症。故应重视手术适应证的选择并严格手术操作规范。 |
| 【关键词】椎间盘移位 并发症 动态固定 |
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| Analysis and strategy on the early complications of lumbar disc herniation with Coflex system |
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ABSTRACT
Objective: To explore the short-term effectiveness and the cause of the early complications of lumbar disc herniation with Coflex system in order to provide evidence for the prevention.
Methods: From November 2007 to August 2008, 37 patients (20 males and 17 females) were treated with Coflex system. The age was from 33 to 70 years with an average of 52 years and the history was from 6 to 50 months with an average of 16.5 years. Complications were observed and the short-term effectiveness was evaluated by scores of JOA and ODI before and after operation.
Results: All patients were followed up from 1 to 2 years with an average 20 months. The JOA score increased from 9.09±1.10 preoperatively to 25.40±1.20 in the last follow-up. ODI decreased from 24.70±4.80 preoperatively to 4.80±1.00 in the last follow-up .The VAS score decreased from 7.86±0.80 preoperatively to 3.20±0.50 in the last follow-up. The symptoms remarkably improved. Complications occurred in 4 patients (10.8 %), among them, persistent low back pain was in 1 case and conservative treatment did not work;opposite lower limb pain was in 1 case at the 3rd week after operation and symptomatic treatment was effective;displacement of Coflex was in 1 case and Coflex breakage happened in 1 case at the 6th month after operation, but both did not have related clinical symptom.
Conclusion: Coflex can obtain good clinical outcomes in treating lumbar disc herniation, but it has special complications. The indications and manipulations should be chosen properly. |
| KEY WORDS Intervertebral disk displacement Complications Dynamic fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 徐丁,徐华梓,吴立军,季烈峰,池永龙.Coflex治疗腰椎间盘突出症近期并发症分析及相关对策[J].中国骨伤,2011,24(4):273~276 |
| 英文格式: | XU Ding,XU Hua-zi,WU Li-jun,JI Lie-feng,CHI Yong-long.Analysis and strategy on the early complications of lumbar disc herniation with Coflex system[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(4):273~276 |
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