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改良侧前方减压术治疗脊柱脊髓损伤的探讨

The modified later-anterior decompression surgery for the treatment of spinal cord injury (with 22 cases of reports)
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摘要 目的探讨胸腰椎骨折脱位并脊髓损伤手术治疗的效果。方法采用改良的经后入路侧前方减压术。结果治疗22例,随访6个月~3年,神经功能较术前改善Ⅰ~Ⅱ级(按Frankel分级标准)。结论该改良术式创伤较小 ,减压部位准确 ,术中出血少 ,脊柱稳定性破坏小 。 Objective To evaluate the surgical outcome of thoracolumbar fractures and luxatons with the injury of spinal cord. Methods The modified later-anterior decompression surgery through posterior approach was adopted. Results 22 treated patients were followed up for 6~36 months. Their neurological functions were all improved by 1-2 grades than preoperative stage according to the Frankel grading scale. Conclusion The improvement had the advantages of minor trauma, less bleeding, accurate decompression site and less destruction to the spine stability.
作者 丁保大
出处 《浙江临床医学》 2001年第7期477-478,共2页 Zhejiang Clinical Medical Journal
关键词 脊柱 脊髓损伤 减压术 手术方法 Decompression Spine Spinal cord injuries
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参考文献3

  • 1Riska EB, Myllynen P, Bo stman O.Anterolateral decompression for neural involvement in thoracolumbar fractures. J BoneJoint Surg(Br),1987,67: 704.
  • 2王大勇,吴梅英,王序全.经椎弓根椎体后份切除术治疗胸腰椎骨折截瘫[J].中国修复重建外科杂志,1995,9(1):16-18. 被引量:6
  • 3赵定麟 张文明 屠开元.脊椎损伤晚期病例的椎管前方减压术[J].中华骨科杂志,1984,4:1-1.

二级参考文献1

  • 1贾连顺.陈旧性胸腰脊柱脊髓伤的半侧椎板切除及侧前方减压治疗[J]第二军医大学学报,1986(05).

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