医学资料甲基强的松龙在脊柱非创伤性疾病治疗中的应用.pptxVIP

医学资料甲基强的松龙在脊柱非创伤性疾病治疗中的应用;MP的药理作用 Pharmacologic Effect of MP in SCI (Hall 1981-85);MP的药理作用 Pharmacologic Effect of MP in SCI (Hall 1981-85);1、减轻脊髓和神经根细胞膜水肿 2、抑制神经细胞膜和轴突、树突的脂质过氧化进程 3、抑制一般性炎症反应和作用 Relieving edema of cell membranes of spinal cord and nerve roots Inhibiting lipid peroxidation of nerve cell membrane, axons and dendrites Suppressing general inflammatory reaction;4、间接改善局部血液循环 5、抑制细胞的凋亡 6、减轻再灌注损伤 4. Indirectly improving local blood circulation 5. Inhibiting apoptosis 6. Relieving reperfusion injury ;第6页/共63页;第7页/共63页;MP应用现状及方法Current Use of MP;脊柱外科疾病（颈椎） Surgical Treatment of Spine Diseases (cervical spine);脊柱外科疾病（颈椎） Diseases of Spine Surgery (cervical spine);碎骨片 Small piece of bone graft;;;后路切开复位，经椎弓根螺钉内固定 Posterior approach for ORIF and trans-pedicle screw fixation;第15页/共63页;前路椎间盘切除、植骨、内固定 Anterior ACDF and plating;第17页/共63页;脊髓型颈椎病，发育性颈椎管狭窄,C4-5椎间盘突出 Cervical spondylotic myelopathy, Developmental cervical Spinal stenosis,C4-5 disc protrusion;脊柱外科疾病（颈椎） Diseases of Spine Surgery (cervical spine);颈椎管内肿瘤，压迫脊髓 Cervical intraspinal tumor, compressed spinal cord;脊柱外科疾病（颈椎） Surgical Treatment of Spine Diseases (cervical spine);颈椎后纵韧带骨化，脊髓严重受压,单开门术后 Ossification of posterior longitudinal ligament of cervical spine, severely compressed spinal cord，post-open door laminoplasty;颈椎结核，椎管内脓肿 Tuberculosis of cervical spine, intraspinal abscess;颈椎椎板切除术后后凸畸形 Post-laminectomy cervical Kyphosis ;颈椎前路松解+后路松解+前后路固定、矫正、融合 Combined anterior and posterior release, fixation, correction and fusion ;手术常见并发症 * 喉上神经、喉返神经水肿 * 神经根牵拉损伤 * 反应性脊髓水肿 * 脊髓损伤 Common complications Edema of superior laryngeal nerve and recurrent laryngeal nerve Stretch injury of nerve roots Responsive edema of spinal cord Spinal cord injury ;甲强龙对颈???路术后耳鼻喉并发症的影响 Effects of MP on ENT Complications After Anterior Cervical Decompression;甲强龙对颈前路术后耳鼻喉并发症的影响 Effects of MP on ENT Complications After Anterior Cervical Decompression;甲强龙对颈前路术后耳鼻喉并发症的影响 Effects of MP on ENT Complications After Anteri