本文選題：CT定位 + 腰椎間盤脫出�。� 參考：《中國矯形外科雜志》2017年15期

【摘要】：[目的]通過回顧總結(jié)脫出型腰椎間盤突出癥患者的影像和臨床資料,探討椎間盤脫出程度的矢狀位分度方法與髓核殘留的關系以及內(nèi)窺鏡治療策略。[方法]選擇2010年6月~2015年12月在本院行CT定位+脊柱內(nèi)窺鏡治療的脫出型腰椎間盤突出癥患者986例,其中L_(4/5)521例,L5/S1465例。將所有患者仰臥位64排螺旋CT掃描數(shù)據(jù)傳入GE AW4.3圖像后處理系統(tǒng),將椎體后緣四等分,以此描述椎間盤矢狀位脫出程度,分為Ⅰ、Ⅱ、Ⅲ、Ⅳ度;統(tǒng)計脫出程度與髓核殘留的關系。椎間盤脫出程度矢狀位分度統(tǒng)計結(jié)果:521例L_(4/5)脫出者Ⅰ度232例、Ⅱ度196例、Ⅲ度67例、Ⅳ度26例,465例L5/S1脫出者Ⅰ度187例、Ⅱ度215例、Ⅲ度50例,Ⅳ度13例;髓核殘留統(tǒng)計結(jié)果:986例脫出者中126例髓核殘留,Ⅰ度12例、Ⅱ度54例、Ⅲ度35例、Ⅳ度25例,椎間盤在矢狀面上脫出的程度越遠,髓核越容易殘留。[結(jié)果]所有患者隨訪10~76個月,平均37.60個月,JOA評分由術前的(8.40±3.20)分,增加到術后1周的(24.90±2.70)分,末次隨訪時為(27.30±3.90)分,與術前比較差異均有統(tǒng)計學意義(P0.01)。[結(jié)論]將椎間盤脫出程度進行矢狀位分度,對于準確評估手術的可行性、預測可能出現(xiàn)的問題、指導手術入路的設計、保證手術的安全性、提高手術療效具有十分重要的意義。
[Abstract]:[objective] to review the imaging and clinical data of prolapse lumbar disc herniation, and to explore the relationship between sagittal degree of disc protrusion and nucleus pulposus residue and endoscope treatment strategy. [methods] 986 patients with prolapse lumbar intervertebral disc herniation were selected from June 2010 to December 2015, including 521 patients with L5 / S1465. 64-slice spiral CT scan data of supine position were transferred to GE AW4.3 image post-processing system. The posterior margin of vertebral body was divided into four equal parts to describe the degree of sagittal prolapse of intervertebral disc, which was divided into 鈪，

本文編號：1932865