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介绍一种椎板切开椎板修复的方法

New Technique of Laminectomy Follwing Laminplasty
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摘要 目的和方法 :传统的椎板切除是先切除棘突再切除椎板 ,此时棘突椎板均已破碎 ,无法利用。新方法是用椎板切开器 ,将两侧椎板切开 ,将棘突、椎板和韧带完整取下来 ,待椎管内操作完毕后 ,将此棘突、椎板和韧带复合体侧翻过来 ,覆盖在已经切开的椎管上 ,缝合固定即可。结果与结论 :此手术简便易行 ,而且安全 ,可以防止疤痕粘连和压迫 ,还可以向后扩大椎管 ,增加脊柱的稳定性。 Objective and methods : New technique of laminectomywas perfomed with the special designed laminal cutting divided thelamina bilateral. The spinal processes, laminae, and ligments werepreserbed as a piece of compoment and removed from the posterior aspect of spinal canal. After the procedure in the spinal canalcompleted,the piece of component segment had turned laterally andcovered on the spinal canal,which laminectomy had performed,andfixed with several stich's.Results Conclusions: The imprvement of thistechnique were:this procedure was simply, rapily,and mush safer;It protected the dura mater of spinal cord to avoid adhesion andposterior enlarged the spinal canal;It greatly increased thestabilization of spinal column.
作者 方焕生
出处 《河北医学》 CAS 2001年第5期407-408,共2页 Hebei Medicine
关键词 脊柱椎管 椎板切开 椎板修复 Spinal canal Laminectomy Laminoplasty
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