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康复疗法结合手术治疗高位腰椎间盘突出症 被引量:3

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摘要 目的 观察手术前、后康复治疗在腰后路全椎板减压、椎间植骨融合内固定术治疗高位腰椎间盘突出症中的作用。方法选择47例高位腰椎间盘突出症患者,均行腰后路全椎板减压、椎间植骨融合内固定手术,平均年龄55.7岁,平均随访(47.5±7.0)个月。其中22例手术前、后未行康复治疗,作为对照组;其余25例作为康复治疗组,于手术前、后进行系统的康复训练。观察患者术前及术后随访时X线片结果及术后并发症,采用日本整形外科学会(JOA)下背痛评分进行疗效评定,并进行组间比较。结果术后患者均无螺钉松动、断裂等并发症,随访时骨性融合率95.74%。康复治疗组临床优良率为92.00%,对照组为63.64%,2组相比差异有统计学意义(P〈0.05)。结论手术前、后进行系统的康复治疗对于高位腰椎间盘突出症手术患者具有良好的临床效果,值得临床推广、应用。
出处 《中华物理医学与康复杂志》 CAS CSCD 北大核心 2008年第10期680-681,共2页 Chinese Journal of Physical Medicine and Rehabilitation
作者简介 通讯作者:申勇,Email:cjmspine@yahoo.com.cn
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参考文献7

  • 1丁文元,李宝俊,申勇,张为,董玉昌.经后外侧入路治疗胸椎间盘突出症38例报告[J].中华骨科杂志,2006,26(1):39-42. 被引量:24
  • 2Kai Y, Oyama M, Morooka M. Posterior lumbar interbody fusion using local facet joint autograft and pedicle screw fixation. Spine,2004,29: 41-46.
  • 3Asazuma T, Masunka K, Motosureye T, et al. Posterior lumbar interbody fusion using dense hydroxyapatite blocks and autogenous uiac bone: clinical and radiographic examinations. J Spinal Disord Tech, 2005, 18:541-547.
  • 4Suk SI, Lee CK, Kim WJ, et al. Adding posterior lumbar interbody fusion to pedicle screw fixation and posterolateral fusion after decompression in spondylolytic spondylolisthesis. Spine, 1997,22:210-220.
  • 5Tokuhashi Y, Matsuzaki H, Uematsu Y, et al. Symptoms of thoracolumbar junction disc herniation. Spine,2001,26:512-518.
  • 6方健,田瑞霞,侯铁胜,宋恒平,楼明义,李庆国,王平均,倪凤鸣.高位腰椎间盘突出症[J].中国脊柱脊髓杂志,1997,7(6):244-246. 被引量:17
  • 7郑华,孙宝民,秦丽晨,陈琳琳,毕文科.综合康复治疗腰椎间盘术后腰腿痛患者的疗效观察[J].中华物理医学与康复杂志,2005,27(7):448-448. 被引量:7

二级参考文献20

  • 1丁文元,张为,申勇,董玉昌,郜书锋.严重胸椎间盘突出钙化嵌入脊髓一例报告[J].中华骨科杂志,2004,24(12):770-770. 被引量:5
  • 2曾志远,吴家和,陈为义,潘丈誉,黄伯成,施建辉,陈传昌,吴珊鹏.高位腰椎间盘突出症临床特点(附6例报告)[J].颈腰痛杂志,1994,15(1):37-38. 被引量:14
  • 3Dvorak J,Gauchat MH,Valach L.The ourcome of surgery for lumbar disk herniation.Spine,1988,13:1418-1422.
  • 4Mayer TG,Mooney V,Gatchel RJ,et al.Quantifying post-operative deficits of physical function following spinal surgery.Clin Orthop,1989,244:147-155.
  • 5Otani K,Yoshida M,Fujii E,et al.Thoracic disc herniation:surgical treatment in 23 patients.Spine,1988,13:1262-1267.
  • 6Negovetic L,Cerina V,Sajko T,et al.Intradural disc herniation at the T1-2 Level.Croat Med J,2001,42:193-195.
  • 7Harry NH,Steven RG.Rothman-Simenone the spine.4th ed.Harcourt:Publisher Limited,1999.581-596.
  • 8Korovessis PG,Stamatakis M,Michael A,et al.Three-level thoracic disc herniation:case report and review of the literature.Eur Spine J,1997,6:74-76.
  • 9Levi N,Dons K.Two-level thoracic disc herniation.Mt Sinai J Med,1998,65:404-405.
  • 10Rohde RS,Kang JD.Thoracic disc herniation presenting with chronic nausea and abdominal pain:a case report.J Bone Joint Surg(Am),2004,86:379-381.

共引文献44

同被引文献26

  • 1史亚民,侯树勋,韦兴,高天君,李利.腰椎后路手术早期并发症的防治[J].中华骨科杂志,2004,24(9):543-546. 被引量:10
  • 2张俊,何宁,王志勇.经皮腰椎间盘髓核摘除术后综合康复的临床疗效观察[J].中华物理医学与康复杂志,2005,27(11):683-684. 被引量:1
  • 3王驰,岳翔,赵强.大力量间歇牵引与小力量持续牵引治疗腰椎间盘突出症的疗效观察[J].中华物理医学与康复杂志,2006,28(6):418-419. 被引量:7
  • 4中华人民共和国卫生部医政司.中国康复医学诊疗规范(下册)[M].北京:华夏出版社,1999.290-292.
  • 5Cleland JA, Glynn P, Whitman JM, et al. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trail. Phys Ther,2007 ,87 :431-442.
  • 6Cleland JA, Fritz JM, Kulig K, et al. Comparison, of the effectiveness of three manual physical therapy tecbniques in a subgroup of patients with low back pain who satisfy a clinical prediction rule. A randomized clinical trial. Spine ,2009,34:2720-2729.
  • 7Luk KD, Wan TW, Wong YW, et al. A multidisciplinary rehabilitation programme for patients with chronic low back pain:a prospective stu- dy. J Orthop Sarg,2010,18:131-138.
  • 8Kelly AM. The minimum clinical difference in visual analogue scale pain scale does not differ with severity of pain. Emerg Med J,2001, 18 : 205-207.
  • 9Hallegraeff JM, de Greef M, Winters JC, et al. Manipulative therapy and clinical prediction criteria in treatment of acute nonspecific low back pain. Percept Mot Skills ,2009,108 : 196-208.
  • 10Hancock M J, Maher CG, Latimer J, et al. Independent evaluation of a clinical prediction rule for spinal manipulative therapy:a randomised controlled trial. Eur Spine J ,2008,17:936-943.

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