| 巨大型腰椎间盘突出症的手术治疗 |
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| 引用本文： | 徐卫星,王健,卢笛,吴震,张笑峰,卢子荣.巨大型腰椎间盘突出症的手术治疗[J].临床骨科杂志,2010,13(2):139-142. |
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| 作者姓名： | 徐卫星 王健 卢笛 吴震 张笑峰 卢子荣 |
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| 作者单位： | 1. 浙江省立同德医院骨科,浙江,杭州,310012
2. 武警杭州医院骨科,浙江,杭州,310016 |
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| 摘 要： | 目的探讨巨大型腰椎间盘突出症手术治疗的效果。方法28例巨大型腰椎间盘突出症患者中,8例行单侧扩大开窗减压髓核摘除,6例行双侧开窗减压,6例行后路半椎板切除减压髓核摘除,8例行后路全椎板切除减压髓核摘除;28例均行椎弓根螺钉固定。16例行椎间自体髂骨植骨,12例行cage椎间植骨术。单侧椎间植骨融合14例,双侧椎间植骨融合14例。应用JOA评分评价患者手术前后及随访时的神经功能,观察植骨融合情况。结果2例硬脊膜撕裂,1例出现单侧神经根麻痹。JOA评分由术前(11.85±2.41)分提高到术后(25.34±3.23)分,优良率为83.78%。其中单侧开窗组评分由术前(11.60±2.30)分术后改善到(24.85±3.30)分,优良率83.06%;双侧开窗组由术前(11.50±2.40)分术后改善到(25.50±3.20)分,优良率81.12%;半椎板切除组由术前(11.71±2.34)分术后改善到(25.83±3.41)分,优良率86.36%;全椎板切除组由术前(11.92±2.53)分术后改善到(24.49±3.19)分,优良率80.00%。患者均获随访,时间18～66个月,随访期内26例获得骨性融合,融合率...
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| 关 键 词： | 腰椎间盘突出症 脊柱融合术 |
Surgical treatment of the huge lumbar intervertebral disc herniation |
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| XU Wei-Xing,WANG Jian,LU Di,WU Zhen,ZHANG Xiao-feng,LU Zi-rong.Surgical treatment of the huge lumbar intervertebral disc herniation[J].Journal of Clinical Orthopaedics,2010,13(2):139-142. |
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| Authors: | XU Wei-Xing WANG Jian LU Di WU Zhen ZHANG Xiao-feng LU Zi-rong |
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| Institution: | Dept of Orthopaedics/a>;Zhejiang Provincial Tongde Hospital/a>;Hangzhou/a>;Zhejiang 310012/a>;China |
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| Abstract: | Objective To evaluate the surgical approaches and their clinical effect of the huge lumbar intervertebral disc herniation.Methods 28 patients with the huge lumbar intervertebral disc herniation were reviewed.8 patients were treated with unilateral posterior fenestration,6 with bilateral posterior fenestration,6 with semi-laminectomy,8 total laminectomy.All the 28 cases were fixed with pedicle screw systems and were performed intervertebral fusion(16 autologous iliac bone graft,12 cages;14 unilateral,14 bila... |
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| Keywords: | lumbar disc herniation spinal fusion |
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