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经皮髓核成形术治疗退变性颈椎间盘突出症

Percutaneous cervical nucleoplasty in treating degraded cervical vetebra disc protrusion
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摘要 目的探讨经皮穿刺颈椎等离子体髓核成形术(PCN)治疗退变性颈椎间盘突出症的临床疗效。方法对因退变性颈椎间盘突出症住院行PCN治疗的66例患者的临床资料进行回顾性分析。结果等离子刀头断裂1例,改用经皮穿刺颈椎间盘切吸术(PCD)手术;其余手术均成功。手术前后视觉模拟评分系统(VAS)、日本矫形外科评分(JOA)比较差异均有统计学意义(均P〈0.05)。随访6—30个月,平均18个月。手术后均无颈椎不稳病例发生。手术前后颈椎稳定性比较差异均无统计学意义(均P〉0.05)。结论PCN治疗退变性颈椎间盘突出症的临床疗效好;PCN不会造成颈椎失稳。 Objective To study the clinical effect of percutaneous cervical nucleoplasty ( PCN ) in treating degraded cervical vetebra disc protrusion. Methods The clinical data of 66 cases with degraded cervical vetebra disc protrusion treated by PCN were retrospectively analyzed. Results Knife tip broke in one case and the DCD were applied instead. All other PCN operations were successful. VAS and JOA were signficantly different before and after operation ( P 〈 0.05 ). The patients were followed up for 6-30 months, on an average of 18 months. No unstable cervical vertebra occurred after operation. The stability of cervical vertebra was not significantly different ( P 〉 0.05 ). Conclusion PNC is better in treating degraded cervical vertebra disc protrusion which will not cause unstable cervical vertebra.
出处 《中国综合临床》 北大核心 2008年第2期114-116,共3页 Clinical Medicine of China
基金 广东省医学科研基金资助项目(A2005563)
关键词 椎间盘移位 经皮髓核成形术 Intervert and itebral disk displacement Pereutaneous nucleoplasty
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