应用Quadrant可扩张管道系统微创治疗腰椎间盘突出症及传统开窗手术的疗效比较.pdfVIP

fPllllr IIIIlIJIfl IFTIF IfI ＼1901006 目 录 000000000QOOOOOOQ 中文摘要…………………………………………………O 1 英文摘要…………………………………………………………………3 研究论文应用Quadrant可扩张管道系统微创治疗腰椎间盘突出症 ．传统开窗手术的疗效比较 前言………………………………………………···………………5刖吾 ”一““一””“”””””“”“”一””””一”””“”””””一““””·5 00000mOO000000…6 资料与方法…………………………………………0 结果 ························……·············································7 附I药 ···········································································8 附表························································-··················11 讨论···········································································13 结论···········································································19 D 00 O000000000 参考文献……………………………………………O 0…20 综述微创技术在腰椎疾患中的应用……………………………………21 ooe 附蜀乏 0 eo···-·········：·······················································29 致谢 ··································································-········32 个人简历…………………………………………………………………33 中文摘要 统开窗手术的疗效比较 摘 要 目的：椎间盘组织承受人体躯干及上肢的重量，人在日常生活及劳作 中，最容易受到劳损，其原因是，血液供应量少，营养甚为有限，从而容 的已出现明显退变，纤维环出现裂隙。随着年龄的增长，髓核脱水而逐渐 缩小至中心部，周围纤维环增厚。最终导致间盘突出，压迫神经，出现坐 骨神经症状，在经保守治疗无效后，往往需手术治疗。一般认为开窗手术 所去除的骨质较少，不破坏关节突关节，对脊柱稳定性影响较小。但随着 微创意识的增强，如何在保证疗效的前提下，减少病人的创伤及术后并发 症的发生，已经成为临床医师共同思考的问题。本文通过探讨应用 疗效比较，总结临床经验。 方法：通过对自2009年3月起收入的腰椎间盘突出症患者进行研究， 从中选择单侧神经根受累，影像学显示单间