[1]柳永明 王志勇 李盛华 孙乐伟.后柱重建治疗低龄中央型腰椎间盘突出症[J].中国中医骨伤科杂志,2015,23(02):5-7.
　LIU Yongmin WANG Zhiyong LI Shenghua SUN Lewei.Posterior Column Reconstruction Treatment in Central Type of Intervertebral Disc Herniation of the Low Age Patients[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(02):5-7.
点击复制

后柱重建治疗低龄中央型腰椎间盘突出症
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年02期
页码:
5-7
栏目:
临床研究
出版日期:
2015-02-15

文章信息/Info

Title:
Posterior Column Reconstruction Treatment in Central Type of Intervertebral Disc Herniation of the Low Age Patients
文章编号:
1005-0205(2015)02-0005-03
作者:
柳永明1 王志勇1 李盛华1 孙乐伟1
1甘肃省中医院脊柱骨三科 甘肃中医学院附属医院(兰州,730050)
Author(s):
LIU Yongmin1 WANG Zhiyong1 LI Shenghua1 SUN Lewei1
1Department of Spinal Orthopedics, Gansu Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
后柱重建;  低龄中央型腰椎间盘突出症;  治疗结果;  微创
Keywords:
posterior column reconstruction;  central type of intervertebral disc herniation;  low age patients;  efficacy
分类号:
R681.5+3
文献标志码:
A
摘要:
目的:探讨脊柱微创理念治疗低龄中央型腰椎间盘突出症的初期临床疗效。方法:回顾性分析2011年5月-2013年5月采用后柱重建治疗低龄中央型腰椎间盘突出症38例。患者资料:男26例,女12例; 年龄19～48岁,平均32.5岁; L3～46例,L4～520例,L5～S112例。采用VAS疼痛评分及ODI功能评价系统进行评价。观察术后临床症状缓解情况及重建后柱的骨性愈合情况以及是否存在术后腰椎不稳定。结果:38例均获得随访,随访时间6～13个月,平均(10±1.2)个月。患者切口均一期愈合,无1例发生脊髓损伤、脑脊液漏及血肿压迫等并发症。结论:后柱重建治疗低龄中央型腰椎间盘突出症简便安全,初期随访疗效良好。
Abstract:
Objective:To evaluate the early clinical efficacy of spinal concept of minimally invasive treatment. Methods: Retrospectively analyzed 38 cases with central type of intervertebral disc herniation who undergoing posterior column reconstruction treatment from May 2011 to May 2013. There were 26 males and 12 females, with an average age of 32.5 years(ranged from 19 to 48 years). There were 46 cases located in L3～4, 20 cases located in L4～5, and 18 cases located in L5～S1. The oswestry disability index(ODI)and visual analog scale(VAS)was used to assess the effective. The clinical symptoms remission, osseous healing, and lumbar instability were observed after treatment. Results: All patients were followed up for 6 to 13 months(10±1.2 months averagely). There was no complication occurred, such as spinal cord injury, cerebrospinal fluid leakage, and the hematoma compression. All patients had primary healing of incision. Conclusion: Posterior column reconstruction treatment in central type of intervertebral disc herniation of the low age patients is safe, easy and effective.

参考文献/References:

[1] 王正国.微创外科刍议[J].解放军医学杂志,2002,27(2):104-105.
[2] DEYO R A, WEINSTEIN J N. Low bank pain[J]. N Engl J Med,2001,344(5):363-370.
[3] 张春霖,唐恒涛,于远洋,等.腰椎后路椎间盘手术及疗效分析[J].中华骨科杂志,2004,24(2):84-87.
[4] 杨惠林,唐天驷.腰椎不稳与腰椎管狭窄症专题研讨会纪要[J].中华骨科杂志,1994,14(1):60-63.
[5] DEXTER F, CHESTNUT D H. Analysis of statistical test to compare visual analog scale measurements among group[J]. Anesthesiology,1995,82(4):896-902.
[6] FAIRBANK J C, PYNSENT. The Oswestry Disability Idex[J]. Spine(Phila Pa 1976),2000,25(22):2940-2952.
[7] 迟大明,朱悦.非融合固定在退变性腰椎疾患中的应用[J].中华骨科杂志,2005,25(10):622-624.
[8] 侯树勋.脊柱外科学[M].北京:人民军医出版社,2005:825.
[9] 郝定均,贺宝荣,许正伟,等.腰椎间盘突出症术后翻修术的原因分析[J].中国骨与关节损伤杂志,2010,25(9):781-783.

备注/Memo

备注/Memo:
收稿日期:2014-05-04
基金项目:甘肃省科学技术厅自然科学基金项目 项目编号:145RJZA135
更新日期/Last Update: 2015-02-28