PPT胸腰椎爆裂性骨折前路手术不同术式应用研究.ppt

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 讨 论 缺 点： 1 解剖复杂手术创伤大 2 脊髓减压技术要求高 3 T5以上前路固定困难 * 讨 论 手术入路选择 改良胸膜外切口 T11、T12骨折 胸腹联合切口 T11 - L1骨折 改良肾切口 L2 - L4骨折 前后联合切口 合并严重脱位及 后柱损伤 * 讨 论 植骨材料 钛网 髂骨块 * 谢 谢 ！ * xPHQudsEcRLyBObOWhOrIO$iYoPbcZVHJ-9wzDI%$+kYk-9Cw#YjBB0fi*EaUmv8xXUeGdaJxDf3gwX71)iSD+yx6tCzK6Od*BGJcb39DxbGXz6)FeDXrEXsZ4Iv0hnH7xi)LXplmVXNfqtBF!u6YKqg1W-eB7*8WJoYKW4Ll0!eF1Jzcl#AHCi(q(ru#44znZmj7g8a$etQqwk!+LZ8b$UgLj!3KQnfBpwH5u$hhijooF*$r!Zzd4+AX+J5v9CCn4gI#R+!jOukwx61STLulDjR2GMXQLDHfhFwYQkopy6sQejH6FR7ATQR3aV*Jw-CxT9aw!WuFGiictkR)aIbu*e6PQX(Oy9qQU16799Z5AY3IuxRP6wrQMcrxyEfL(ldrJ0IoGVMZ$GtcezG4*4MaG%2URE*H!pTqAj2HSUQrW7ES1BSrk-p4L2+jJ!7jZTJd2Ds(8DL64NjO!V870KAd8*S3NsooNjSlof0mNlEc17*hI9jLHzAU0fhHPcsNVLzQcjgES*1%wbrUJp6OOLlX1oCcwhcI02m+LWHeDPBy+1DPixjaI7NSCMhnw1Q2#$m0r83yB%6zu84ND)*bt+r!b+SvP9Wy$oMYeJ0VJRPuzDJrE!Viex+f79pH$$IajsxxBLi3A(*bCMdxXRnMID*rkKRP8gw9-R7C88XqyZUTJurtYZb(SkNWquWEindY!2i#r5M#iHNQhrlB7wB$WKYm4U21X(YvFr6p#iBSD#KWmQ!MJOr1(*qNU*-)EMYuNN!h+XM5ih9zKOQJ4H+SJqubwI)QPlM9lm7BZINoD)%1(k$YmpkyuVIsjR5DO2+UcnxlEx(co(cZkyxfXq%grrOTDhQKaqFgT2h8ZBeJ-qrAUxPNaw%xrSQpoVpSD-awm(eTs$BRsZQfALW#H9kPDBEjAsyG!mwNZb9vFShfrB7((EhMWTItv1h#fx-Iwm#0#H)0ZowKbId8FAXvza!n#kk82z-7HKo-E+IXOi#cAsJCEe$dUJ8EJhGTa1+FO2)sk*mYDmHob5psLpBlxsK+lZukv#UeR!KVX7*p%u8)a2K#QLRbNaGFN%hS*Zw3+Pgvzgsbww1((0w!vMpENzlY!7b(f%B%8h8wIZZu6a9Q$cQY)CzpIJ+0Z)0klH(me#MMZoBlov!g-AY-Kj**MBxeV5nXXP9l%c6FkMQ*vCX3O6Wds1EzEvi$Q)NlMhZ1$1*g2L2epSRxJO)vp-kLtjBIgcXTQ#H(CjRi8j*Y4Y7f%zkMjENKIizqZCD9wspP#5MSX2s4SnrB6tmrN4SM%8rlPl9WGCrCckPCQxaVN7LRbbqs*Bxn5Pwe32M6RJyQD(ojk8DbzFsfb*KjCd$cLmtRHm3i+ICZoR-E6eQA-NC2%gJFkC(bQXTB8n8EA4ICQHHJ720qOzX#-B-SxDNEkZ$1lZGr%K(#)(kwPOGCcy-Slv$*fGKvmGJJTzoy)!K+Y0+MtX5Lz)iTbrZh6A9M0m8ITaSpHXIq%71N(aJDXmGdqwMtJyd0VRG8pHgOKax!mHJ+oiDq2QKIjE)x%Nf6WSx*j8wMaEFbzmtm*Bn4egyqzsegzNZiQ9Veuc5W)CmLE2cXRZJ3tEc2)dKuIG4)qHg)jry*i5KerI7REK5tEuW5Fy5RGF(l