摘要
目的 探讨人工腰椎间盘置换术治疗腰椎间盘突出症的临床效果。方法 自1999年12月～2001年12月对22例腰椎间盘突出症患者采用Link SB ChariteⅢ型人工椎间盘行椎间盘置换术,共置换假体30个,随访4～28个月（平均16个月）,分别于手术前后对患者的情况进行JOA评分。结果所有病例无术中并发症发生,术中出血100～800ml（平均320 ml）。术后第2d（早期病例为术后第7d）,患者可佩戴腰围下地,术后6周除去腰围恢复正常活动。术后X线片显示人工椎间盘位置正确,椎间隙高度恢复正常。患者腰腿痛症状消失,直腿抬高试验阴性。3例患者术后出现健侧肢体麻木。JOA评分较术前提高,差异有非常显著性意义（P<0.001）。无椎间盘假体脱落、失效,远期感染等术后并发症发生。结论 人工椎间盘置换术是治疗腰椎间盘突出症的有效方法,但应严格掌握手术适应证。
Objective To assess the clinical outcomes of patients with lumbar disc herniation treated with Link SB Charite Ⅲ disc replacement. Methods The retrospective analysis study was performed in 22 patients (with an average of 37. 1 years ) undergone artificial disc replacement. A total of 30 disc prostheses were implanted. The duration of follow-up evaluation ranged 4 to 28 months, with an average of 16 months. JOA score was used to assess the clinical outcomes. Results There was no complication occurred during operative or postoperative periods. Plain X-ray films confirmed that the disc prosthesis lied in accurate position and the intervertebral height restored. After disc implantation, subjective symptoms and clinical signs were obviously improved. The JOA score was increased significantly compared with that of preoperative. Conclusion Artificial disc replacement is an effective method for lumbar disc herniation disease, but the indications should be strictly limited.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2002年第8期459-461,共3页
Chinese Journal of Orthopaedics
