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高位腰椎间盘突出症
Hits: 2084   Download times: 1718   Received:February 25, 2000  Revised:June 07, 2000  
作者Author单位UnitE-Mail
张涛 ZHANG Tao 河南省人民医院,河南郑州450003 Henan Province Hospital,Henan Zhengzhou,450003  
高延征 GAO Yan zheng 河南省人民医院,河南郑州450003 Henan Province Hospital,Henan Zhengzhou,450003  
赵永强 ZHAO Yong qiang 河南省人民医院,河南郑州450003 Henan Province Hospital,Henan Zhengzhou,450003  
王宏鹤 河南省人民医院,河南郑州450003 Henan Province Hospital,Henan Zhengzhou,450003  
李广玉 河南省人民医院,河南郑州450003 Henan Province Hospital,Henan Zhengzhou,450003  
期刊信息:《中国骨伤》2001年14卷,第8期,第454-456页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨高位腰椎间盘突出症的临床特点、诊断和治疗。

方法:根据突出部位与程度,分别采用五种不同的手术方法治疗高位腰椎间盘突出症68例,其中侧方入路1例,单开窗法25例,双开窗法13例,半椎板切除18例,全椎板切除11例。

结果:42例患者获随访,平均随访时间25个月,优良率905%.

结论:高位腰椎间盘突出症的临床表现复杂,多伴有低位突出,应充分重视临床查体。
[关键词]:腰椎  椎间盘移位  治疗应用
 
Upper lumbar disc herniation
Abstract:

Objective:To explore the clinical characteristics,diagnosis and treatment method of upper lumbar disc herniation

Methods:Based on the position and degree of the upper lumbar disc herniation,68 cases were treated with 5 different surgical methods:side approach in 1 cases,unilateral fenestration in 25 cases,bi lateral fenestration in 13 cases,semi laminectomy in 18 cases and total laminectomy in 11 cases.

Results:42 cases were followed up and the mean period was 25 months.The excellent good rate reached 90 5%.

Conclusion:Upper lumbar disc herniation often combined with low disc herniation and has complicated clinical situation,so we should pay more attention to the physical examination.During the operation,exploring the spinal canal carefully and resecting the herniated nucleus pulposus completely are the key to increase the curative effect.
KEYWORDS:Lumbar  vertebrae  Intervertebral  disk  displacement  Therapeutic  use
 
引用本文,请按以下格式著录参考文献:
中文格式:张涛,高延征,赵永强,王宏鹤,李广玉.高位腰椎间盘突出症[J].中国骨伤,2001,14(8):454~456
英文格式:ZHANG Tao,GAO Yan zheng,ZHAO Yong qiang.Upper lumbar disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(8):454~456
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