[1]陈冠军,陈扬,庄汝杰.可灌注骨水泥椎弓根螺钉系统 在老年腰椎疾患手术中的应用[J].中医正骨,2015,27(02):40-42.
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可灌注骨水泥椎弓根螺钉系统 在老年腰椎疾患手术中的应用()
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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:
40-42
栏目:
临床报道
出版日期:
2015-02-10

文章信息/Info

作者:
陈冠军1陈扬1庄汝杰2
1.浙江中医药大学,浙江 杭州 310053;
2.浙江中医药大学附属第一医院,浙江 杭州 310006
关键词:
骨质疏松老年性 腰椎 椎间盘移位 椎管狭窄 脊椎滑脱 骨水泥 椎弓根螺钉
摘要:
目的:探讨可灌注骨水泥椎弓根螺钉系统在老年腰椎疾患手术中的应用价值。方法:采用可灌注骨水泥螺钉系统治疗老年 腰椎疾患患者26例,男7例,女19例。年龄63~75岁,中位数68.5岁。腰椎间盘突出症10例,腰椎管狭窄9例,腰椎滑脱7例。均为单 节段病变,均合并严重骨质疏松,病变节段相邻椎体骨密度为(0.425±0.093)g·cm-3。分别于术前、术后6周、 术后3个月及末次随访时采用视觉模拟评分法(visual analogue score,VAS)和日本骨科协会(Japanese orthopaedic association,JOA)腰痛疾患评分标准评定患者的腰部疼痛情况和腰部功能,同时观察治疗及随访期间并发症的发生情况。结果: 本组26例患者均获随访,随访时间20~38个月,中位数25.5个月。术后2例患者发生切口感染,应用敏感抗生素后控制; 4例发生尿 路感染,1例出现肝功能异常,请相关科室会诊治疗后恢复正常; 2例患者分别在术后6个月及术后12个月出现腰背部疼痛,口服非 甾体消炎镇痛药后明显缓解。未发生内固定松动、断裂、脱出等并发症。本组患者术前、术后6周、术后3个月及末次随访时的 VAS评分和JOA评分分别为(5.6±1.1)分、(5.3±0.9)分、(3.1±0.6)分、(1.3±0.2)分,(11.2±3.4)分 、(16.2±3.1)分、(17.1±1.2)分、(23.1±2.4)分。结论:应用可灌注骨水泥椎弓根螺钉系统固定治疗老年腰椎 疾患,固定牢固,可有效缓解患者的疼痛症状,改善腰部功能,而且具有较高的安全性。

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备注/Memo

备注/Memo:
2014-11-09收稿 2014-12-02修回
通讯作者:庄汝杰 E-mail:rujiezhuang@163.com
更新日期/Last Update: 2015-02-25