| Quadrant微创系统下行单侧椎弓根螺钉内固定联合椎间植骨融合治疗极外侧型腰椎间盘突出症的临床疗效观察 |
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| 引用本文： | 赵勇,丘德赞,李荣祝,尹东,梁斌,黄孝英,覃俊君.Quadrant微创系统下行单侧椎弓根螺钉内固定联合椎间植骨融合治疗极外侧型腰椎间盘突出症的临床疗效观察[J].广西医学,2015(2):172-175. |
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| 作者姓名： | 赵勇 丘德赞 李荣祝 尹东 梁斌 黄孝英 覃俊君 |
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| 作者单位： | 广西壮族自治区人民医院骨科,南宁市,530021 |
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| 基金项目： | 广西医疗卫生重点科研项目课题 |
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| 摘 要： | 目的探讨Quadrant微创系统单侧椎弓根螺钉内固定椎间植骨融合治疗极外侧型腰椎间盘突出症的疗效。方法对20例极外侧型腰椎间盘突出症患者通过Quadrant微创通道下单侧椎弓根螺钉内固定及椎间植骨融合内固定术,运用日本骨科学会评估治疗分数(JOA评分)和疼痛评估伤口视觉模拟法(VAS评分)评价疗效,并观察术后各项指标。结果20例患者均顺利完成手术,均按时门诊复查,平均随访26个月。随访腰椎正侧位及过伸过曲位X线片、腰椎CT及腰椎MRI检查示内固定器稳定,未出现腰椎失稳,20例病例植骨完全融合。临床疗效为优16例,良3例,可1例,无效0例。末次随访JOA评分明显高于术前(P<0.05),腰痛、腿痛VAS评分明显低于术前(P<0.05);术前与末次随访椎间隙高度比较,差异无统计学意义(P>0.05)。结论 Quadrant系统下行单侧椎弓根螺钉内固定联合椎间植骨融合内固定术治疗极外侧型腰椎间盘突出症可维持术后的脊柱稳定性,具有损伤小、出血少、恢复快、疗效满意且操作简单等优点。
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| 关 键 词： | 极外侧型腰椎间盘突出症 Mast Quadrant系统 微创手术 椎弓根螺钉内固定 椎间植骨融合 |
Effect of Quadrant minimally invasive system applied to unilateral transpedicular internal fixation with screw combined with intervertebral bone grafting fusion on far-lateral lumbar disc herniation |
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| ZHAO Yong,QIU De-zan,LI Rong-zu,YIN Dong,LIANG Bin,HUANG Xiao-ying,QIN Jun-jun.Effect of Quadrant minimally invasive system applied to unilateral transpedicular internal fixation with screw combined with intervertebral bone grafting fusion on far-lateral lumbar disc herniation[J].Guangxi Medical Journal,2015(2):172-175. |
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| Authors: | ZHAO Yong QIU De-zan LI Rong-zu YIN Dong LIANG Bin HUANG Xiao-ying QIN Jun-jun |
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| Institution: | ZHAO Yong;QIU De-zan;LI Rong-zu;YIN Dong;LIANG Bin;HUANG Xiao-ying;QIN Jun-jun;Department of Orthopaedics,the People’s Hospital of Guangxi Zhuang Autonomous Region; |
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| Abstract: | |
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| Keywords: | Far-lateral lumbar disc herniation Mast Quadrant system Minimally invasive surgery Transpedicular internal fixation with screw Intervertebral bone grafting fusion |
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