钛钢螺纹椎体融合器治疗退行性腰椎间盘突出症的远期疗效观察.PDFVIP

·1284 · 现代中西医结合杂志 Modern Journal of Integrated Traditional Chinese and Western Medicine 2004 May , 13 ( 10) 钛钢螺纹椎体融合器治疗退行性腰椎 间盘突出症的远期疗效观察 1 2 2 王明新 ,姚共和 ,杨少锋 ( 1. 武警总医院 ,北京 100039 ;2 . 湖南中医学院附属第一医院 ,湖南 长沙 4 10007) ( ) 　　[摘要] 　目的　观察钛钢螺纹椎体融合器 TFC 手术治疗退行性腰椎间盘突出症的远期疗效 。方法 　选择 36 例腰椎间盘突出症患者 ,随机分为 2 组各 18 例 ,治疗组采用 TFC 手术治疗 ,对照组采用单纯椎板开窗、髓核摘除术治 疗 。治疗后进行融合率 、椎间隙高度 、椎间孔高度观测和主 、客观疗效评价 。结果 　治疗组椎体融合率达 94 % ,术后 椎间隙高度及椎间孔高度增加 ,远期随访无明显丢失 , 临床疗效主客观评估均优于对照组 。结论 　TFC 治疗退行性 腰椎间盘突出症 ,可以有效地撑开或保持受累椎间隙 ,扩大椎间孔 ,有利于骨融合 ,可缓解疼痛 ,其远期疗效可靠 。 [ 关键词] 　螺纹椎体融合器 ;退行性腰椎间盘突出症 ;远期疗效 [ 中图分类号] 　R0681. 53 　　　[文献标识码] 　A 　　　[文章编号] 　1008 - 8849 (2004) 10 - 1284 - 02 Longdated curative effect observation of threaded f usion cage on lumbar degenerative disc disease WAN G Mingxin1 , YAO Gonghe2 , YAN G Shaofeng2 ( 1. Chinese People ’s Armed Police Forces General Hospital ,Beijing 100039 , China ; 2 . The First Affiliated Hospital of Hu nan Traditional Chinese Medical College , Changsha 4 10007 , Hunan , China) Abstract : Objective It is to observe t he longdated curative effect of t hreaded fusion cage ( TFC) op eration on lumbar degenerative disc disease . Methods 36 p atient s wit h lumbar degenerative disc disease were randomly divided into two group s in which t here were 18 cases resp ectively . The treat ment group was treated wit h TFC and t he control group was treated wit h simple nucleus extrip ation . After treat ment , t he fusion rate , height s of intervertebral sp ace and foramen were observed and t he subj ective and obj ective curative