[1]吕成国,杨勇,梅伟,等.后路Quadrant通道下锁孔髓核摘除术治疗单节段颈椎间盘突出症[J].中医正骨,2018,30(07):73-75.
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后路Quadrant通道下锁孔髓核摘除术治疗单节段颈椎间盘突出症()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年07期
页码:
73-75
栏目:
临床报道
出版日期:
2018-07-20

文章信息/Info

作者:
吕成国杨勇梅伟孙宜保范富有曾昭峰
(河南省郑州市骨科医院,河南 郑州 450052)
关键词:
椎间盘移位 颈椎 椎间盘切除术经皮 外科手术微创性 Quadrant通道 锁孔
摘要:
目的:观察后路Quadrant通道下锁孔髓核摘除术治疗单节段颈椎间盘突出症的临床疗效及安全性。方法:2015年4月至2016年4月,采用后路Quadrant通道下锁孔髓核摘除术治疗单节段颈椎间盘突出症患者14例。男9例,女5例。年龄31~43岁,中位数39.5岁。病变节段位于C4~55例、C5~67例、C6~72例。病程2.5~5.7年,中位数3.5年。术后随访观察颈部疼痛缓解、颈椎功能恢复及并发症发生情况。结果:14例患者中1例因出现脑血管疾病而脱落,其余13例均获随访,随访时间21~33个月,中位数27个月。2例末梢神经功能恢复不良,1例偶有颈部疼痛症状,均经电针等治疗后好转。13例患者均未出现切口感染及脊髓神经损伤。颈部疼痛视觉模拟量表评分,术前(6.01±1.21)分、术后6个月(2.23±0.63)分、术后12个月(2.23±0.63)分。日本骨科学会颈椎病功能评定量表(17分法)评分,术前(11.35±1.51)分、术后6个月(15.02±0.63)分、术后12个月(15.79±0.71)分。结论:后路Quadrant通道下锁孔髓核摘除术治疗单节段颈椎间盘突出症,可以缓解颈部疼痛、促进颈椎功能恢复,且安全性较高,值得临床推广应用。

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备注/Memo

备注/Memo:
通讯作者:杨勇 E-mail:lcgmaster@126.com
更新日期/Last Update: 2018-11-30