| 经椎间孔入路治疗颈胸段外伤性椎间盘突出症 |
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Received:June 22, 2009
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王建华 |
WANG Jian-hua |
广州军区总医院,广东 广州 510010 |
The General Military Hospital of Guangzhou,Guangzhou 510010,Guangdong,China |
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| 尹庆水 |
YIN Qing-shui |
广州军区总医院,广东 广州 510010 |
The General Military Hospital of Guangzhou,Guangzhou 510010,Guangdong,China |
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| 夏虹 |
XIA Hong |
广州军区总医院,广东 广州 510010 |
The General Military Hospital of Guangzhou,Guangzhou 510010,Guangdong,China |
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| 吴增晖 |
WU Zeng-hui |
广州军区总医院,广东 广州 510010 |
The General Military Hospital of Guangzhou,Guangzhou 510010,Guangdong,China |
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| 马向阳 |
MA Xiang-yang |
广州军区总医院,广东 广州 510010 |
The General Military Hospital of Guangzhou,Guangzhou 510010,Guangdong,China |
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| 章凯 |
ZHANG Kai |
广州军区总医院,广东 广州 510010 |
The General Military Hospital of Guangzhou,Guangzhou 510010,Guangdong,China |
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| 艾福志 |
AI Fu-zhi |
广州军区总医院,广东 广州 510010 |
The General Military Hospital of Guangzhou,Guangzhou 510010,Guangdong,China |
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| 期刊信息：《中国骨伤》2009年22卷，第8期，第573-575页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨颈胸交界区外伤性椎间盘突出症的治疗方法。
方法：自2003年至2008年急诊收治10例创伤性颈胸段椎间盘突出患者，男6例，女4例；年龄23～66岁，平均41.5岁；急诊行经椎间孔入路椎间盘摘除，同期后路椎弓根钉棒固定，术后予以高压氧治疗。采取JOA评分标准，从肢体感觉，运动，膀胱功能等方面进行疗效评定。
结果：所有患者均获随访，时间8～16个月，平均13个月。1例完全性脊髓损伤患者，脊髓功能无恢复，其余9例患者感觉运动功能均有不同程度的恢复。JOA评分由术前平均(8±3)分至术后平均(15±2)分，差异有统计学意义。
结论：对于外伤性颈胸段椎间盘突出症早期采用经椎间孔入路实施椎间盘切除术可以获得安全有效的脊髓减压，有利于功能恢复。 |
| [关键词]:颈椎 胸椎 创伤和损伤 椎间盘移位 骨折固定术,内 |
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| Treatment of traumatic intervertebrae disk herniation in cervical thoracic junction through transforminal approach |
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Abstract:
Objective: To investigate the treatment for traumatic intervertebrae disk herniation in cervical thoracic junction.
Methods: From 2003 to 2008,there were 10 patients with trautimatic intervertebral disk herniation in cervical thoracic junction,which included 6 males and 4 females,aged from 23 to 66 years(means 41.5 years). All of them were performed through the transforminal approach combined with internal fixation. After operation all patient underwent hyperbaric oxygen treatment. The function of spine was evaluated by JOA score system.
Results: :All patients were followed up for 8 to 16 months(means 13 months). All patients got recovery of spine function to some extent except one case with complete spine damaged. The JOA scores was improved from(8±3)before operation to(15±2)after operation.
Conclusion: Early and effective treatment by transforminal operation could be helpful for the recovery of spine function. |
| KEYWORDS:Cervical vertebrae Thoracic vertebrae Wounds and injuries Intervertebral disk displacement Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王建华,尹庆水,夏虹,吴增晖,马向阳,章凯,艾福志.经椎间孔入路治疗颈胸段外伤性椎间盘突出症[J].中国骨伤,2009,22(8):573~575 |
| 英文格式: | WANG Jian-hua,YIN Qing-shui,XIA Hong,WU Zeng-hui,MA Xiang-yang,ZHANG Kai,AI Fu-zhi.Treatment of traumatic intervertebrae disk herniation in cervical thoracic junction through transforminal approach[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(8):573~575 |
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