| 胶原酶盘外注射治疗腰椎间盘突出症附24O例疗效分析 |
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Received:December 16, 1996 Revised:April 22, 1997
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张国民 |
Zhang Guomin |
解放军第四军医大学唐都医院,西安710038 |
Tang Du Hospital, The Fourth Military MedicalUniversity, Xi'an 710038 |
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| 王执民 |
Wang Zhimin |
解放军第四军医大学唐都医院,西安710038 |
Tang Du Hospital, The Fourth Military MedicalUniversity, Xi'an 710038 |
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| 李文献 |
Li Wenxian |
解放军第四军医大学唐都医院,西安710038 |
Tang Du Hospital, The Fourth Military MedicalUniversity, Xi'an 710038 |
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| 徐金龙 |
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解放军第四军医大学唐都医院,西安710038 |
Tang Du Hospital, The Fourth Military MedicalUniversity, Xi'an 710038 |
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| 期刊信息：《中国骨伤》1997年10卷，第6期，第3-6页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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| 采用胶原酶盘外注射治疗腰椎间盘突出症263例。全部病例具有典型的临床症状和体征,经CT或MRI确诊并且保守治疗无效。对其中24O例进行了3月、6月及12月的随访,治愈率为62％,总有效率为92％,无效率为8％。阐述了胶原酶盘外注射的理论依据,胶原酶能够溶解椎间盘突出物,而对椎管内其他组织无明显毒副作用。分析了注射后疼痛反应的机制。认为胶原酶溶解术的疗效与适应证的选择、注射部位的准确性及药物剂量密切相关。胶原酶盘外溶解术是一种安全、简便和有效的治疗腰椎间盘突出症的方法。 |
| [关键词]:胶原酶 椎间盘溶解术 椎间盘突出 盘外 |
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| Extradiscal Injection of Collagenase in The Treatment of Herniated Lumbar Dise-A Therapeutic Analysis of 240 Cases |
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| Abstract:263 cases of lum bar disc herniation were treated with extradiscal injection of collagenase.All patients with typical clinical symptoms and signs were diagnosed by CT scanning or MRI, and all of them without therapeutic effect with conservative therapy. Among them, 240 cases had been followed up clinically for 3-12 months. The results showed that the cure rate, effective rate and ineffective rate were 62%,92% and 8%,respectively. The theoretical foundation of extradiscal injection of collagenase was expounded that collagenase could dissolve the herniation of lumbar disc but did not affect to adjacent structures. The mechanisms of pain response after discolysis were analysed. The writers thought that the therapeutic effect of discolysis is closely related to the choice of the indication,the accuracy of the injection site, and the dosage of collagenase. Extradiscal discolysis is a safe, convenient and efficient method for treating herniated lumbar disc. |
| KEYWORDS:Collagenase Discolysis Protrusion of inter vertebral disc Extradisc |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张国民,王执民,李文献,徐金龙.胶原酶盘外注射治疗腰椎间盘突出症附24O例疗效分析[J].中国骨伤,1997,10(6):3~6 |
| 英文格式: | Zhang Guomin,Wang Zhimin,Li Wenxian.Extradiscal Injection of Collagenase in The Treatment of Herniated Lumbar Dise-A Therapeutic Analysis of 240 Cases[J].zhongguo gu shang / China J Orthop Trauma ,1997,10(6):3~6 |
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