| 腰椎滑脱症的三种手术疗效观察 |
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Received:May 24, 2002
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| 作者 | Author | 单位 | Unit | E-Mail |
| 徐侃 |
XU Kan |
浙江大学医学院附属第二医院,浙江 杭州 310009 |
The Second Affiliated Hospital of Zhejiang Medical University Zhejiang Hangzhou ,310009, China |
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| 陈正形 |
CHEN Zheng- xing |
浙江大学医学院附属第二医院,浙江 杭州 310009 |
The Second Affiliated Hospital of Zhejiang Medical University Zhejiang Hangzhou ,310009, China |
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| 陈其昕 |
CHEN Qi-xin |
浙江大学医学院附属第二医院,浙江 杭州 310009 |
The Second Affiliated Hospital of Zhejiang Medical University Zhejiang Hangzhou ,310009, China |
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| 陈维善 |
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浙江大学医学院附属第二医院,浙江 杭州 310009 |
The Second Affiliated Hospital of Zhejiang Medical University Zhejiang Hangzhou ,310009, China |
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| 期刊信息：《中国骨伤》2002年15卷，第12期，第705-707页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨不同手术方法治疗腰椎滑脱症的疗效。
方法:腰椎滑脱症患者共48例,男23例,女25例,根据Meyerding分度,Ⅰ度28例,Ⅱ度18例,Ⅲ度2例,采用①前路BAK植骨或髂骨块植骨9例;②后路椎弓根螺钉内固定加椎体间植骨融合18例(前路融合4例,后路14例);③后路椎弓根螺钉内固定加横突间植骨融合21例。
结果: 术后随访时间3～60个月,平均21.5个月。根据疗效评定标准,术式①②③的优良率分别是66.7%、100%、81%。术后术式③断钉发生1例;术式②皮下积液1例;术式②约1/3病例发生神经根病,2～3周后消失。
结论:腰椎滑脱症的手术方式很多,具体应根据病人的年龄,滑脱类型,滑脱程度,椎间盘突出情况及椎管的形态做出相应的选择。 |
| [关键词]:腰椎滑脱 固定装置,内 骨移植 |
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| Analysis of the outcome three different surgical treatment for spondylolisthesis |
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Abstract:
Objective:To discuss the effects of three different methods for the treatment of spondy-lolisthesis
Methods:48 cases of spondylolisthesis were classified according to Meyerding standard, in which 28 cases had Ⅰ degree, 18 cases had Ⅱ degree,and 2 cases had Ⅲ degree lesions. The patients were treated with ① anterior fusion of BAK implantation or ilium bone graft,②fixation through pedicle of vertebral arch and intervertebral fusion,③fixation through pedicle of vertebral arch and transverse process fusion.
Results:All the patients were followed-up from 3 to 60 months, with an average of 21.5 months. The rate of excellent and good results of the three methods were 66.7% , 100% and 81 % according to evaluation of the clinic improvement and radiography. Among them, Screw breakage happened in 1 case, subcutaneous hematoma in 2 and approximately one-third patients had radiculopathy which disappeared after 2 to 3 weeks.
Conclusion:Operation method should be selected according to the age of patient, the type and level of displacement, the states of the protrusion,and the appearance of the spinal canal. |
| KEYWORDS:Spondylolisthesis Fixation devices, internal Bone transplantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 徐侃,陈正形,陈其昕,陈维善.腰椎滑脱症的三种手术疗效观察[J].中国骨伤,2002,15(12):705~707 |
| 英文格式: | XU Kan,CHEN Zheng- xing,CHEN Qi-xin.Analysis of the outcome three different surgical treatment for spondylolisthesis[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(12):705~707 |
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