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find Author "陆晴友" 2 results
  • 微创经椎间孔腰椎间融合术治疗下腰椎疾患的初步报告

    探讨微创经椎间孔腰椎间融合术(transforaminal lumbar interbody fusion,TLIF)治疗下腰椎疾病的适应证、方法和早期疗效。 方法 2004 年2 月- 2006 年12 月,于METRX X-Tube 扩张套管下,应用TLIF 治疗下腰椎疾患26 例。男16 例,女10 例;年龄47 ~ 71 岁,平均61 岁。Ⅰ~Ⅱ度退行性或峡部裂型腰椎滑脱症12 例,退行性腰椎管狭窄伴节段性不稳9 例,腰椎间盘突出症4 例,腰椎间盘突出症髓核摘除术后复发1 例。均为单节段融合,其中L3、 4 1 例,L4、5 9 例,L5、S1 16 例。病程10 ~ 34 个月。术前视觉疼痛模拟评分法(visual analogue scale,VAS)评分为(8.1 ± 2.2)分。 结 果 术中失血120 ~ 480 mL,手术时间为100 ~ 280 min。1 例术中硬膜囊撕裂,1 例术后出现口止母 背伸肌力下降,均经对症处理后痊愈。患者均获随访12 ~ 26 个月。术后1 周及3 个月VAS 评分分别为(2.3 ± 0.7)分及(3.1 ± 1.2)分,与术前比较差异有统计学意义(P lt; 0.01)。术后3 个月综合疗效评定:优21 例,良5 例。X 线片示椎间隙骨密度均逐渐增加,Cage 无移位、松动、下沉,椎弓根钉无松动、折断,融合率100%。 结论 微创TLIF 适用于腰椎不稳、局限节段椎间盘病变及Ⅱ度以下腰椎滑脱伴神经根管狭窄的患者,具有手术出血少、损伤小等优点。

    Release date:2016-09-01 09:12 Export PDF Favorites Scan
  • BIOMECHANICAL RESEARCH OF RECONSTRUCTING ANTERIOR CRUCIATE LIGAMENT BY IMPLANTING VARIOUS LENGTH OF AUTOGENOUS TENDON INTO BONE TUNNEL

    Objective To make a comparison for the change of maximum tensile intensity and stiffness of a whole implant that is placed into bone tunnel with various lengths tendon, by using beagle dog’s autogenous flexor tendons to reconstruct anterior cruciate l igament (ACL). Methods Sixty male beagle dogs were included in the experiment (weighting 13-16 kg). Three dogs were used for intact flexor tendon of both knees (normal control group), 3 dogs for the intact ACL andfemur-graft-tibia complex (auto control group) and 54 dogs (108 knees) for models of reconstructed ACL (6 experimentalgroups according to different lengths of tendon: 5, 9, 13, 17, 21 and 25 mm in the bone tunnel). The tensile intensity and stiffness were measured after 45, 90 and 180 days separately after operation. Results In the normal control group, the maximum tensile intensity of the intact flexor tendon was (564.15 ± 36.18) N, the stiffness was (59.89 ± 4.28) N/ mm. In the auto control group, the maximum tensile intensity of the intact ACL was (684.75 ± 48.10) N, the stiffness was (74.34 ± 6.99) N/ mm, all ruptured through the intra-articular portion of the graft. The maximum tensile intensity of femur-graft-tibia complex in the auto control group was (301.92 ± 15.04) N, the stiffness was (31.35 ± 1.97) N/mm. After 45 days of operation, all failure occurred at the tibial or femoral insertion site. After 90 days of operation, 24 of the breakpoints were scattered in tendon-bone junction, 12 (3 in 17 mm group, 5 in 21 mm group, 4 in 25 mm group) ruptured through the intra-articular portion. After 180 days of the operation, all breakpoints were distributed inside joint of the implant. The maximum tensile intensity and the stiffness were ber in 17, 21 and 25 mm groups than in 5, 9 and 13 mm groups after operation (P lt; 0.05). Conclusion Tendon with 17 mm length, which will be implanted into bone tunnel, is an appl icable index, in reconstruction of ACL by autogenous tendons.

    Release date:2016-09-01 09:05 Export PDF Favorites Scan
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