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同种异体颈椎间盘移植术的手术护理

Nursing of allogeneic intervertebral transplantation disc surgery
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摘要 目的:探讨同种异体颈椎间盘移植治疗颈椎间盘疾患的手术配合方法。方法:选择2000年1月~2014年6月行同种异体颈椎间盘移植治疗患者29例,均经颈前入路手术行同种异体椎间盘移植,未使用其他内固定装置。临床功能分别采用 VAS 疼痛评分、颈椎功能障碍指数(NDI)及 JOA 评分系统评估。结果:29例患者平均手术时间1.5 h,平均失血量55 ml。术后血常规等检查均正常,无感染、脱位等并发症。术后各随访时间点患者颈肩及上肢疼痛 VAS 评分,NDI,JOA 评分较术前相比明显改善(P 〈0.05)。结论:充分的术前准备和准确的术中配合提高了手术成功率,同种异体椎间盘移植保持了良好椎间高度与活动度,临床应用效果良好。 Objective:To analyze cooperation methods of multi - center allogeneic transplantation for the treatment of cervical disc disease disc surgery. Methods:There were a total of 29 cases with cervical degenerative diseases,and they were confirmed by anterior approach surgery disc allograft transplanta-tion,not the other fixation devices. Clinical features were used pain VAS score,cervical dysfunction index (NDI) and the JOA scoring system. Results:The mean operative time 1. 5 h,the average blood loss was 55 ml. Postoperative blood and other tests are normal,no infection,dislocation and other complica-tions. Postoperative follow - up time points for each patient neck and shoulder and upper limb pain VAS score,NDI,JOA score (P < 0. 05). Conclusion:Ad-equate preoperative preparation and accurate surgery with improving the success rate of surgery,allogeneic transplant to maintain a good intervertebral disc height and activity,clinical use to good effect.
作者 杨莉 谢倩
出处 《护理实践与研究》 2015年第7期79-80,共2页 Nursing Practice and Research
关键词 同种异体 椎间盘移植 手术室护理 Intervertebral disc transplantion Degenerative disc disease Operating room nursing
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