| IsoC-3D计算机导航结合Mast Quadrant通道管微创治疗腰椎退行性疾病 |
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投稿时间：2012-01-12
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| 作者 | Author | 单位 | Address | E-Mail |
| 关宏刚 |
GUAN Hong-gang |
佛山市中医院骨科,广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China |
fsghg@21cn.com |
| 王刚 |
WANG Gang |
佛山市中医院骨科,广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China |
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| 霍智铭 |
HUO Zhi-ming |
佛山市中医院骨科,广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China |
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| 沈源彬 |
SHEN Yuan-bin |
佛山市中医院骨科,广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China |
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| 陈超 |
CHEN Chao |
佛山市中医院骨科,广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China |
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| 梁亮科 |
LIANG Liang-ke |
佛山市中医院骨科,广东 佛山 528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong,China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第6期，第451-454页 |
| DOI：10.3969/j.issn.1003-0034.2012.06.003 |
| 基金项目: |
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中文摘要:
目的: 探讨IsoC - 3D计算机导航下结合Mast Quadrant通道管微创减压、椎间融合、经皮椎弓根钉内固定治疗腰椎退行性病的疗效.
方法: 2009年1月至2010年2月,采用IsoC - 3D计算机导航下经皮椎弓根内内固定结合Mast Quadrant 通道管下椎管减压、椎间融合术治疗腰椎退行性疾病患者21例,男12例,女9例；年龄36～72岁,平均50.2岁.临床疗效采用Oswestry功能障碍指数(Oswestry disability index,ODI)评分、疼痛视觉模拟评分(Visual analog scale,VAS)及患者满意度进行评定.
结果: 18例(85.7%)患者得到随访,随访时间6～18 个月,平均10个月.无手术相关的并发症.ODI 评分术前(49.6±12.2)分,末次随访时为(17.2±9.2)分,与术前比较明显下降(P<0.01).腿痛VAS评分术前(75.2±10.0)分,末次随访时下降至(12.2±11.8)分(P<0.01).腰痛VAS评分从术前(59.9±17.3)分下降至末次随访时(16.6±11.5)分(P<0.01).16例患者对手术效果感到满意.
结论: 作为一种新型微创术式,Mast Quadrant通道管在显微镜及目视下进行椎管减压、椎间融合,同时结合三维导航系统技术快速辅助下行经皮椎弓根钉内固定,临床疗效良好,具有组织损伤轻、出血少、住院时间短的优点. |
| 【关键词】退行性疾病 腰椎 外科手术,计算机辅助 脊柱融合术 减压 |
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| Minimally invasive surgical treatment for lumbar degenerative disease with IsoC-3D navigation under Mast Quadrant system |
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ABSTRACT
Objective: To evaluate the effects of surgical treatment of IsoC-3D navigation assisted percutaneous pedicle screw fixation,vertebral canal decompression and interbody fusion using Mast Quadrant system in patients with lumbar degenerative disease.
Methods: From January 2009 to February 2010,21 patients with lumbar degenerative disease were treated with IsoC-3D navigation under Mast Quadrant system. There were 12 males and 9 females,with an average age of 50.2 years(ranged,36 to 72 years). All patients underwent discectomy,vertebral canal decompression,cage implantation using Mast Quadrant system and IsoC-3D navigation assisted sextant lumbar fixation. Clinical outcomes were evaluated with Oswestry disability index(ODI),Visual analog scale (VAS) and degree of satisfaction of patients.
Results: Eighteen patients (85.7%) were followed up from 6 to 18 months with an average of 10 months. No surgery-related complications were found. The preoperative,postoperative ODI scores was 49.6±12.2 and 17.2±9.2,respectively (P<0.01);VAS score of leg pain decreased from preoperative 75.2±10.0 to 12.2±11.8 at final follow-up(P<0.01);VAS score of lumbago decreased from preoperative 59.9±17.3 to 16.6±11.5 at final follow-up(P<0.01). Sixteen patients obtained satisfactory results.
Conclusion: IsoC-3D navigation assisted percutaneous pedicle screw fixation,vertebral canal decompression and interbody fusion using Mast Quadrant system could achieve satisfactory clinical results in treating lumbar degenerative disease and may be a better alternative to conventional surgical procedures. It has advantages such as limited tissue damage,less blood loss,short time in hospital. |
| KEY WORDS Degenerative diseases Lumbar vertebrae Surgery,computer-assisted Spinal fusion Decompression |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 关宏刚,王刚,霍智铭,沈源彬,陈超,梁亮科.IsoC-3D计算机导航结合Mast Quadrant通道管微创治疗腰椎退行性疾病[J].中国骨伤,2012,25(6):451~454 |
| 英文格式: | GUAN Hong-gang,WANG Gang,HUO Zhi-ming,SHEN Yuan-bin,CHEN Chao,LIANG Liang-ke.Minimally invasive surgical treatment for lumbar degenerative disease with IsoC-3D navigation under Mast Quadrant system[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(6):451~454 |
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