地塞米松明胶海绵复合物预防硬脊膜外粘连:83例随访

Compound of flumeprednisolone and spongia gelatinosa in preventing peridural adhesion:Follow-up in 83 cases

为了观察地塞米松明胶海绵预防腰椎间盘髓核摘除术后硬脊膜外粘连的疗效,选择广西医科大学第四附属医院骨科2002-06/2006-08收治入院的152例腰椎间盘突出症患者,其中83例术后将地塞米松结合明胶海绵置于神经根周围及硬脊膜上。通过定期随访,按Macnab法疗效标准评定临床效果。术后直腿抬高试验明显改善,优良率96.4%,功能恢复较好,手术效果满意。可见地塞米松明胶海绵复合物对预防腰椎间盘突出症术后硬脊膜外粘连有一定的效果。

To observe the preventive effects of flumeprednisolone and spongia gelatinosa on peridural adhesion after nucleus pulposus resection of lumbar intervertebral disc, 153 cases with lumbar intervertebral disc protrusion were selected from the Department of Orthopaedics, Fourth Affiliated Hospital of Guangxi Medical University between June 2002 and August 2006. Among them, the flumeprednisolone and spongia gelatinosa were put surrounding nerve root and dura mater of spinal cord in 83 cases. According to the Macnab criterion, the Lasegue symptom was effectively relieved after operation, and 96.4% of excellent and good result was achieved by periodic follow-up with good functional recovery and satisfactory surgical effect. It indicates that flumeprednisolone and spongia gelatinosa composite is effective in preventing peridural adhesion after intervertebral disc operation.