| 双侧颈长肌缝合固定防止颈椎植骨块滑脱的临床应用 |
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Received:November 11, 2002
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张英泽 |
ZHANG Yingze |
河北医科大学第三医院创伤急救中心,河北 石家庄 050051 |
Department of Orthopaedic Surgery, the Third Affiliated Hospital of Hebei Medical University |
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| 王庆贤 |
WANG Qingxian |
河北医科大学第三医院创伤急救中心,河北 石家庄 050051 |
Department of Orthopaedic Surgery, the Third Affiliated Hospital of Hebei Medical University |
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| 潘进社 |
PAN Jinshe |
河北医科大学第三医院创伤急救中心,河北 石家庄 050051 |
Department of Orthopaedic Surgery, the Third Affiliated Hospital of Hebei Medical University |
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| 彭阿钦 |
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河北医科大学第三医院创伤急救中心,河北 石家庄 050051 |
Department of Orthopaedic Surgery, the Third Affiliated Hospital of Hebei Medical University |
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| 宋连新 |
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河北医科大学第三医院创伤急救中心,河北 石家庄 050051 |
Department of Orthopaedic Surgery, the Third Affiliated Hospital of Hebei Medical University |
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| 期刊信息：《中国骨伤》2003年16卷，第9期，第527-529页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:在对颈长肌的定量解剖学研究基础上,设计了双侧颈长肌联合缝合、固定植骨块的新术式。
方法:采用成年尸体10具,去除颈部浅层肌肉及软组织,显露双侧颈长肌及交感干,测量C3-C7节段颈交感干与颈长肌内缘的距离及双侧颈长肌内缘之间的距离。并在10个颈椎上模拟了颈椎前路减压植骨,利用双侧颈长肌联合缝合。并应用于46例患者。
结果: ①双侧颈长肌内缘之间的距离分别为:C3水平(7.2±2.1)mm,C4水平(9.6±3.3)mm,C5水平(11.2±2.9)mm,C6水平(12.4±2.5)mm,C7水平(12.7±3.7)mm,颈交感干与颈长肌内缘的距离分别为:C3水平(25.5±2.8)mm,C4水平(20.4±3.5)mm,C5水平(17.8±2.9)mm,C6水平(10.2±2.4)mm,C7水平(15.3±3.1)mm。②本组病例随访0.5～6年,未出现食管瘘、食管痉挛,吞咽困难及呛咳等并发症,全部骨性愈合。40例颈椎病35例缓解,5例减轻;6例颈椎骨折脱位患者4例好转,2例无效。所有植骨块均获骨性融合,无滑脱。所有患者颈部屈曲及旋转功能正常,颈部外观正常,无霍纳氏综合征。
结论:双侧颈长肌联合缝合对颈椎前路减压植骨块有阻挡作用,疗效可靠。 |
| [关键词]:颈椎 骨科手术方法 骨移植 |
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| Clinical use of suturing the longus collis muscle to prevent the bone graft from surge in the cervical anterior decompression. |
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Abstract:
Objective:We perform an anatomical research of the longus collis muscle (LCM). On this basis, the longus collis muscle was sutured to prevent the bone graft from surge in the cervical anterior decompression. This new operation style was used in 46 patients.
Methods:10 adult cadavers were used for dissection and measurements. The distance between the sympathetic trunk( ST) and the medial border of the LCM and the distance between the medial borders of the LCM were measured from C3 to C7 level. Suturing of LCM were used in 46 patients.
Results:The distance between the medial borders of the LCM was (7.2±2.1) mm at C3, (9.6 ± 3.3) mm at C4, (11.2±2.9) mm at C5, (12.4 ± 2.5) mm at C6 and (12.7±3.7) mm at C7. The distance between the ST and the medial border of the LCM was (25.5 ±2.8) mm at C3,(20.4±3.5) mm at C4,(17.8±2.9) mm at C5, (10.2±2.4) mm at C6 and (15.3±3.1) mm at C7.46 cases had follow-up from six months to six years. Healing occurred in all bone grafts. In the 40 cases of cervical spondylosis,35 cases recovered and the other patient's symptom was alleviated. In 6 cases of cervical fractures or dislocation,4 cases' symptom was alleviated and 2 cases were poor. The rotational and flexion-extension function were normal. The outlook of the neck was normal. No Horner's syndrome was noticed in this group.
Conclusion:LCM can be sutured to prevent the bone graft in the cervical anterior decompression. |
| KEYWORDS:Cervical vertebrae Orthopaedics operative methods 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: | 张英泽,王庆贤,潘进社,彭阿钦,宋连新.双侧颈长肌缝合固定防止颈椎植骨块滑脱的临床应用[J].中国骨伤,2003,16(9):527~529 |
| 英文格式: | ZHANG Yingze,WANG Qingxian,PAN Jinshe.Clinical use of suturing the longus collis muscle to prevent the bone graft from surge in the cervical anterior decompression.[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(9):527~529 |
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