[1]邵礼晖,潘浩.Coflex棘突间动态稳定系统治疗腰椎退变性疾病40例[J].中医正骨,2015,27(02):37-39.
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Coflex棘突间动态稳定系统治疗腰椎退变性疾病40例()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年02期
页码:
37-39
栏目:
临床报道
出版日期:
2015-02-10

文章信息/Info

作者:
邵礼晖1潘浩2
1.浙江中医药大学,浙江 杭州 310053;
2.浙江省杭州市中医院,浙江 杭州 310007
关键词:
腰椎 椎管狭窄 椎间盘移位 手术后并发症 Coflex棘突间动态稳定系统
摘要:
目的:探讨Coflex棘突间动态稳定系统治疗腰椎退变性疾病的临床疗效及安全性。方法:采用Coflex棘突间动态稳定系统 治疗腰椎退变性疾病患者40例,男19例,女21例; 年龄37~92岁,中位数65岁。腰椎间盘突出症12例,腰椎管狭窄24例,腰椎间盘突 出症合并腰椎管狭窄4例。病变节段L3~44例,L4~534例,L3~4、L4~52例。 合并骨质疏松症5例。观察患者术后症状缓解、腰椎功能恢复及并发症发生情况。结果:本组40例患者均获随访,随访时间20~36 个月,中位数26.5个月。术后患者症状缓解、腰椎功能改善。疼痛视觉模拟评分,术前(7.6±1.2)分,术后(3.7±1.0)分 ,末次随访时(0.8±0.5)分。Oswestry功能障碍指数评分,术前(24.8±4.6)分,术后(8.6±2.3)分,末次随访时 (4.6±1.7)分。日本骨科学会下腰痛评分,术前(9.4±2.3)分,术后(22.6±3.4)分,末次随访时(26.7±3.5)分 。术后并发手术节段棘突骨折1例,佩戴硬质腰围进行固定后骨折愈合; 并发假体松动并向后滑移1例,无明显症状,未行特殊处理 ; 并发阴茎异常勃起1例,经收缩血管和改善微循环药物治疗后症状缓解。结论:应用Coflex棘突间动态稳定系统治疗腰椎退变性 疾病,可维持腰椎的稳定,有利于症状的缓解和腰椎功能的恢复; 但应严格把握手术适应证、选择合适的假体,且手术医生应具有 熟练的手术操作能力和相当的手术经验,以减少术后并发症的发生。

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备注/Memo

备注/Memo:
2014-08-17收稿 2015-01-04修回
通讯作者:潘浩 E-mail:80740914@qq.com
更新日期/Last Update: 2015-02-25