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导管法胶原酶溶解术治疗腰椎间盘突出症589例

Hits: 1790 Download times: 1199 Received:August 13, 2003

作者	Author	单位	Unit	E-Mail
崔凤德	CUI Feng de	绵阳市第三人民医院骨科,四川绵阳621000	The Third People Hospital of Mianyang
冯亮	FENG Liang	绵阳市第三人民医院骨科,四川绵阳621000	The Third People Hospital of Mianyang
龙新平	LONG Xin ping	绵阳市第三人民医院骨科,四川绵阳621000	The Third People Hospital of Mianyang

期刊信息：《中国骨伤》2004年17卷，第6期，第329-331页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:提高胶原酶溶解术治疗腰椎间盘突出症的疗效和安全性。

方法:对589例符合纳入排出标准的腰椎间盘突出症患者采用小关节内侧入路,利用穿刺针的导向作用准确置入导管于椎间盘突出部位,注射胶原酶行椎间盘溶解术。

结果:按日本骨科学会腰腿痛疗效评分标准,总有效率为96.69%,优良率84.19%。无严重并发症发生。

结论:采用导管定向胶原酶溶解术治疗腰椎间盘突出症较传统方法疗效更好,安全性更高。

[关键词]:椎间盘移位微生物胶原酶导管消融术

Curative effects of chemonucleolysis of collagenase with catheterization in lunbar protrusion of intervertebral disc

Abstract:

Objective:To investigate the curative effects and safety of chemonucleolysis with collagenase in protrusion of lumbar intervertebral disc(PLID).

Methods:By reviewing 589 patients with PLID who received the treatment of chemonucleolysis with catheterization.These patients were consistent to the standards of conclusion and exclusion.We firstly implanted the lumbar puncture needle by the inner wall of lumbar articular process,then catheterized a catheter,at last,injected the collagenase into the compartment of periphery of lumbar intervertebral disc.

Results:According to the JOA score of lumbar leg pain,the total effective rate was 96.69%,and excellent rate was 84.19%.

Conclusion:The curative effects and safety of chemonucleolysis with catheterization in PLID is better than that of traditional methods.

KEYWORDS:Intervertebral disc displacement Microbial collagenase Catheter ablation

引用本文，请按以下格式著录参考文献：

中文格式:	崔凤德,冯亮,龙新平.导管法胶原酶溶解术治疗腰椎间盘突出症589例[J].中国骨伤,2004,17(6):329~331
英文格式:	CUI Feng de,FENG Liang,LONG Xin ping.Curative effects of chemonucleolysis of collagenase with catheterization in lunbar protrusion of intervertebral disc[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(6):329~331

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