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ID:33706010
大小:2.75 MB
页数:28页
时间:2019-02-28
《dynesys治疗腰椎退行性疾病的近期疗效研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、遵义医学院硕士学位论文Dynesys治疗腰椎退行性疾病的近期疗效研究姓名:陶光培申请学位级别:硕士专业:外科学指导教师:梁益建201205遵义医学院硕士学位论文中文捅要Dynesys治疗腰椎退行性疾病的近期疗效研究摘要目的:探讨后路动态稳定系统(dynamicneutralizationsystem—Dynesys)在治疗腰椎退行性改变致腰痛的近期临床疗效观察。‘方法:2009年7月-2011年6月我科室对29例腰椎退行性疾病伴腰痛患者在行Dynesys系统固定术。其中男性13例,女性16例,年龄4卜69岁,平均年龄58岁。包括腰椎退行性腰椎管狭窄症17例,腰椎退行性腰椎
2、滑脱5例,腰椎退行下腰痛7例。应用VAS进行疼痛评估,以Oswestry功能障碍指数(ODI)进行临床疗效评价,以及通过影像学观察椎间隙高度、手术节段活动度、手术及相邻节段的退行性变化,比较术前与术后半年间的差异性。结果:所有病例均顺利完成手术,术后有26例病人得到完全随访,随访时间6—24个月,平均12个月。VAS(0-10分)评分:术前为7.75±1.48分,术后半年为2.8l±1.79分;ODI评分术前32.47±lO.22分,术后半年为lO.25±3.28分,术前术后比较P3、92mm,术后半年为15.29±1.29mm;背侧椎间隙高度术前为7.50±1.44ram,术后半年为8.15mm.L5/S1腹侧椎间隙高度术前为12.13±1.72ram,术后半年为14.39--+1.89turn;背侧椎间隙高度术前为7.42-+1.34mm,术后半年为8.51±1.06ram.无论是L4/L5或L5/S1,术后半年时其椎间隙高度较术前显著增加(P4、81。±1.27。;L5/Sl节段ROM分别为7.21。±2.34。、3.4l。±1.29。,手术前后比较P5、tjve:Posteriordynamicstabilitysystem(dynamicneutralizationsystem—Dynesys)inthetreatmentOflumbardegenerativechangetotheelinicalcurativeeffectofbackpainrecentobservations.Nethods:InJuly2009.June2011to29casesoflumbarsectionIdegenerativediseasepatientswithbackpainatDynesyspercutaneouspinfixat6、ionsystem.13casesofmenandwomenin16,age41-69yearsold,averageage58yearsold.Includinglumbardegenerativelumbarspinalstenosisdiseaseof17cases.1umbardegenerativelumbarolisthein5patients,andlumbarretreatalowbackpainin7cases.ApplicationforpainVASevaluationto0swestrydysfimctionindex(ODI)fortheeval7、uationofelinicalcurativeeffect,andthroughtheimagingobservationdischeightheight,surgerysectionmobility,surgeryandaajacentsegmentaldegenerativechanges.compared、Ⅳitllhalfayearsbeforethedifferences.ResuIts:Allcasesweresuccessfullycompletedsurgery,the26patientsgetcomplet
3、92mm,术后半年为15.29±1.29mm;背侧椎间隙高度术前为7.50±1.44ram,术后半年为8.15mm.L5/S1腹侧椎间隙高度术前为12.13±1.72ram,术后半年为14.39--+1.89turn;背侧椎间隙高度术前为7.42-+1.34mm,术后半年为8.51±1.06ram.无论是L4/L5或L5/S1,术后半年时其椎间隙高度较术前显著增加(P4、81。±1.27。;L5/Sl节段ROM分别为7.21。±2.34。、3.4l。±1.29。,手术前后比较P5、tjve:Posteriordynamicstabilitysystem(dynamicneutralizationsystem—Dynesys)inthetreatmentOflumbardegenerativechangetotheelinicalcurativeeffectofbackpainrecentobservations.Nethods:InJuly2009.June2011to29casesoflumbarsectionIdegenerativediseasepatientswithbackpainatDynesyspercutaneouspinfixat6、ionsystem.13casesofmenandwomenin16,age41-69yearsold,averageage58yearsold.Includinglumbardegenerativelumbarspinalstenosisdiseaseof17cases.1umbardegenerativelumbarolisthein5patients,andlumbarretreatalowbackpainin7cases.ApplicationforpainVASevaluationto0swestrydysfimctionindex(ODI)fortheeval7、uationofelinicalcurativeeffect,andthroughtheimagingobservationdischeightheight,surgerysectionmobility,surgeryandaajacentsegmentaldegenerativechanges.compared、Ⅳitllhalfayearsbeforethedifferences.ResuIts:Allcasesweresuccessfullycompletedsurgery,the26patientsgetcomplet
4、81。±1.27。;L5/Sl节段ROM分别为7.21。±2.34。、3.4l。±1.29。,手术前后比较P5、tjve:Posteriordynamicstabilitysystem(dynamicneutralizationsystem—Dynesys)inthetreatmentOflumbardegenerativechangetotheelinicalcurativeeffectofbackpainrecentobservations.Nethods:InJuly2009.June2011to29casesoflumbarsectionIdegenerativediseasepatientswithbackpainatDynesyspercutaneouspinfixat6、ionsystem.13casesofmenandwomenin16,age41-69yearsold,averageage58yearsold.Includinglumbardegenerativelumbarspinalstenosisdiseaseof17cases.1umbardegenerativelumbarolisthein5patients,andlumbarretreatalowbackpainin7cases.ApplicationforpainVASevaluationto0swestrydysfimctionindex(ODI)fortheeval7、uationofelinicalcurativeeffect,andthroughtheimagingobservationdischeightheight,surgerysectionmobility,surgeryandaajacentsegmentaldegenerativechanges.compared、Ⅳitllhalfayearsbeforethedifferences.ResuIts:Allcasesweresuccessfullycompletedsurgery,the26patientsgetcomplet
5、tjve:Posteriordynamicstabilitysystem(dynamicneutralizationsystem—Dynesys)inthetreatmentOflumbardegenerativechangetotheelinicalcurativeeffectofbackpainrecentobservations.Nethods:InJuly2009.June2011to29casesoflumbarsectionIdegenerativediseasepatientswithbackpainatDynesyspercutaneouspinfixat
6、ionsystem.13casesofmenandwomenin16,age41-69yearsold,averageage58yearsold.Includinglumbardegenerativelumbarspinalstenosisdiseaseof17cases.1umbardegenerativelumbarolisthein5patients,andlumbarretreatalowbackpainin7cases.ApplicationforpainVASevaluationto0swestrydysfimctionindex(ODI)fortheeval
7、uationofelinicalcurativeeffect,andthroughtheimagingobservationdischeightheight,surgerysectionmobility,surgeryandaajacentsegmentaldegenerativechanges.compared、Ⅳitllhalfayearsbeforethedifferences.ResuIts:Allcasesweresuccessfullycompletedsurgery,the26patientsgetcomplet
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