胶原酶髓核溶解和经皮髓核切吸术治疗青少年腰椎间盘突出症的疗效观察(2)

http://www.100md.com 2010年3月25日 段志国 孙正明

第1页

    参见附件(1203KB，2页)。

     胶原酶髓核溶解联合经皮腰椎间盘切吸术是创伤很小的手术方法,其适应症的选择对疗效影响很大,只有影像学提示后纵韧带完整无钙化、突出物无游离及无椎管狭窄者疗效才显著。总之,只要适应症选择合适,大多数青少年腰椎间盘突出症都可通过胶原酶髓核溶解联合经皮腰椎间盘切吸术取得满意的疗效。

    [参考文献]

    [1] Wang ZM,Wang YQ,Wu ZQ,et al. The clinical study of the collagenase injection for the Treatment of lumbar disc Herniation[J]. Shi Yong Fang She Xue Za zhi,1997,13(8):458-460.

    [2] Lecuire F,Jaffar Z,Basso M,et al. Long-term result of lumbar disk chemonucleo lrsis(8-12 years follow up)[J]. Rev Chir Orthop,1994,80(6):468-475.

    [3] Durham SR,Sun PP,Sutton LN. Surgically treated lumbar disc disease in the pediatric population:an outcome study[J]. J Neurosurg(spine 1),2000,92:1-6.

    [4] Baba H,Uchida K,Furasawa N,et al. Posterior lumbar vertebral lesions cause in lumbo-sacral radiculopathy and the cauda equina syndrome[J]. Spinal Cord,1996,34(7):427-432.

    [5] Varlotta GP,Brown MD,Kelsey JL. Familial predisposition for herniation of a lumbar disc in patients who are less than twenty-one years old[J]. J Bone Joint Surg Am,1991,73:124-128.

    [6] Matsui H,Terahata N,Tsuji H,et al. Familial predisposition and clustering for juvenile lumbar disc herniation[J]. Spine,1992,17:1323-1328.

    [7] Varlotta GP,Brown MD,Kelsey JL. Familial predisposition for herniation of a lumbar disc in patients who are less than twenty-one years old[J]. J Bone Joint Surg Am,1991,73:124-128.

    [8] Silvers HR,Lewis PJ,Clabeaux DE,et al. Lumbar disc excisions in patients under the age of 21 years[J]. Spine,1994,19(21):2387-2392.

    [9] 赵洪增,杨瑞民,文华,等. 青年人腰椎间盘突出症的影像诊断及介入治疗[J]. 颈腰痛杂志,2003,24(4):223-224.

    (收稿日期:2010-01-19)

    http://www.100md.com/html/paper/1673-9701/2010/09/12-1.htm

您现在查看是摘要介绍页，详见PDF附件(1203KB，2页)。