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伴椎间组织损伤Hangman骨折的外科治疗 被引量:6
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作者 唐建华 刘晓岚 +5 位作者 刘社庭 彭振宇 谭震 房佐忠 胡文军 兰图 《中国骨与关节损伤杂志》 2011年第5期408-410,共3页
目的探讨伴椎间组织损伤(椎间盘、前后纵韧带及项韧带)Hangman骨折的治疗策略及临床意义。方法自2004年10月-2009年10月对收治的20例均存在不同程度的椎间组织损伤Hangman骨折行前路前、中柱重建术,其中16例行椎间融合锁定钢板内固... 目的探讨伴椎间组织损伤(椎间盘、前后纵韧带及项韧带)Hangman骨折的治疗策略及临床意义。方法自2004年10月-2009年10月对收治的20例均存在不同程度的椎间组织损伤Hangman骨折行前路前、中柱重建术,其中16例行椎间融合锁定钢板内固定术;4例行C3椎体次全切C2-4椎间融合锁定钢板内固定术;术后进行12~48个月,平均(25+2)个月随访。结果术后症状明显恢复。全部患者颈椎生理前凸及解剖序列得到完全恢复,C2骨折愈合良好,术后6个月植骨融合率100%,无内固定系统松动、断裂及椎间高度丢失等现象,颈椎活动与正常同龄人比较(P〉0.05),无统计学意义。结论伴椎间组织损伤Hangman骨折的治疗需要处理损伤的椎间盘,以重建C2-3的稳定性;应用颈椎前路锁定钢板内固定治疗具有可获得术后上颈椎即刻稳定,达到颈椎生理所需的C2-3椎间稳定固定,且术后不影响颈椎的活动功能,是治疗椎间组织损伤Hangman骨折的理想方法。 展开更多
关键词 HANGMAN骨折 前路重建术 椎间组织损伤
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颈椎椎间孔组织对神经根固定作用的生物力学研究 被引量:1
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作者 张正丰 梅芳瑞 +1 位作者 成海平 周军海 《中国临床解剖学杂志》 CSCD 北大核心 1999年第2期169-171,共3页
目的:从生物力学角度观察椎间孔组织对神经根的固定作用及其各根之间的差异。方法:采用6例新鲜颈椎标本,保留椎间孔组织,后路暴露神经根。椎间孔外牵神经干,传感器测量椎管内神经根张力。结果:神经根张力随加载外力的增加而增大... 目的:从生物力学角度观察椎间孔组织对神经根的固定作用及其各根之间的差异。方法:采用6例新鲜颈椎标本,保留椎间孔组织,后路暴露神经根。椎间孔外牵神经干,传感器测量椎管内神经根张力。结果:神经根张力随加载外力的增加而增大,其中C8神经根变化最明显。外力在500g以内时,C5、C6、C7神经根张力上升缓慢,超过此值,上升明显。C5、C6、C7与C8神经根断裂时,外力相差1000g左右。结论:颈椎椎间孔对C5、C6、C7神经根存在明显固定作用,而C8神经根的固定作用相对较弱。 展开更多
关键词 神经根固定 组织 生物力学
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推拿加运动体操治疗腰椎间盘突出症146例分析
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作者 陈和平 《现代康复》 CSCD 1999年第5期581-581,共1页
腰椎间盘突出病因较多且复杂,单用一种疗法往往难以奏效,根据作者的临床体会,认为采取推拿配合运动体操,能取得满意的效果,现将采用此疗法治疗腰椎间盘突出症146例疗效报告如下。1材料与方法1.1临床资料本组病例146例,... 腰椎间盘突出病因较多且复杂,单用一种疗法往往难以奏效,根据作者的临床体会,认为采取推拿配合运动体操,能取得满意的效果,现将采用此疗法治疗腰椎间盘突出症146例疗效报告如下。1材料与方法1.1临床资料本组病例146例,男98例,女48例,平均年龄43岁... 展开更多
关键词 推拿 运动体操 盘突出症 椎间组织
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联合组织瓣植回椎管扩大成形术治疗退变性椎管狭窄症的疗效分析 被引量:2
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作者 侯斌 《中国医学创新》 CAS 2015年第4期143-146,共4页
目的:探讨椎板及棘上-棘间韧带联合组织瓣植回术治疗退变性腰椎管狭窄症的技术要点和疗效。方法:选取66例患者,男25例,女41例,年龄53-81岁,平均67岁。将部分腰背筋膜、棘上韧带、棘间韧带及椎板上骨膜保留,于病变节段下一椎间隙切断棘... 目的:探讨椎板及棘上-棘间韧带联合组织瓣植回术治疗退变性腰椎管狭窄症的技术要点和疗效。方法:选取66例患者,男25例,女41例,年龄53-81岁,平均67岁。将部分腰背筋膜、棘上韧带、棘间韧带及椎板上骨膜保留,于病变节段下一椎间隙切断棘上-棘间韧带,用低速电动磨钻或骨凿,在关节突关节内侧,由下向上沿椎板矢状位全层楔形截骨,直至整个病变节段,向上牵开椎板及棘上棘间韧带,常规进行椎管减压,棘突椎板联合组织瓣植回术。结果:66例均得到随访,最长7年,最短8个月,平均46个月。总优良率89.3%。结论:本术式增加椎管矢状径,扩大椎管容积,有利于减压。椎板及棘上-棘间韧带联合组织瓣植回形成生理管性结构,恢复了脊柱三柱的稳定性,既防止硬膜与组织间瘢痕组织增生形成的医源性椎管狭窄,又防止脊柱后柱失稳。显露范围广、椎管减压彻底,使椎管重新成形,有效的预防术后脊柱不稳、顽固性腰痛等并发症。 展开更多
关键词 板及棘上-棘韧带联合组织瓣植回 管成形 退变性腰管狭窄症
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Gene expression profile of degenerated cervical intervertebral disc tissues in rats
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作者 王拥军 吕维加 +6 位作者 施杞 周重建 张强 周泉 卞琴 刘梅 梁智仁 《Chinese Journal of Traumatology》 CAS 2004年第6期330-340,共11页
Objective: To analyze the gene expression profile of degenerated cervical intervertebral disc of Sprague Dawley rats on a large scale.Methods: Degenerated models of Sprague Dawley rats of 9 months old (degeneration gr... Objective: To analyze the gene expression profile of degenerated cervical intervertebral disc of Sprague Dawley rats on a large scale.Methods: Degenerated models of Sprague Dawley rats of 9 months old (degeneration group, n=9) and normal Sprague Dawley rats of 3 months old (control group, n=9) were prepared, respectively. mRNA was obtained from the cervical intervertebral disc of rats in both groups, respectively, and then labelled by Cy5 and Cy3 fluorescence respectively after reverse transcription to obtain intervertebral disc cDNA probes. cDNA probes were hybridized with BiostarR-40s gene expression profile chips and scanned by laser scanner. The results were treated with portrait analysis, standardization management, and ratio analysis with softwares.Results: Compared with the rats in the control group, (9.6)% (381 pieces in total) gene expression changed obviously in the rats in the degeneration group, among which, the gene expression quantities of 171 pieces increased significantly (r=the ratio of the degeneration group to the control group >(2.0)), 52 pieces of which had certain function. While the gene expression quantities of 211 pieces decreased significantly (r<(0.5)), 41 pieces of which had certain function.Conclusions: Gene chip technology can be used to analyze the gene expression profile of degenerated intervertebral disc of rats in parallel, in quantity and on a large scale, which helps to testify the representative genes and protein expression, and plays an important role in clarifying the pathogenesis of degenerated intervertebral disc. 展开更多
关键词 Intervertebral disc Gene expression RATS
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Electro-acupuncture on the iNOS of Lumbar lntervertebral Disk Tissues in Rats
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作者 张必萌 吴耀持 +2 位作者 吴焕淦 沈健 朱忠春(译) 《Journal of Acupuncture and Tuina Science》 2006年第2期71-74,F0002,共5页
Objective: The present study is to investigate the mechanism of dectrtyacupuncture in preventing and treating lumbar intervertebral disk displacement. Methods: Seventy-five Sprauge-Dawley rats were used to establish... Objective: The present study is to investigate the mechanism of dectrtyacupuncture in preventing and treating lumbar intervertebral disk displacement. Methods: Seventy-five Sprauge-Dawley rats were used to establish the models of lumbar intervertebral disk displacement by operation, and divided into five groups including electro-acupuncture group, western medicine group, acupuncture plus medicine group, model group and normal control group, then they were treated with corresponding therapeutic method. The expression of inducible nitric oxide synthase (iNOS) mRNA in the lumbar intervertebral disk tissues of rats was detected by RTPCR. Results: The expression of iNOS mRNA in the lumbar intervertebral disk tissues of rats in model group was compared with that in normal control group, the significant difference was found (P〈 0.01); While the expressions of iNOS mRNA in the lumbar intervertebral disk tissues of rats in electroacupuncture group, western drug group and acupuncture plus medicine group were all inhibited, and compared with the model group, the significant differences were also found (P 〈 0.01). Conclusion: Electro-acupuncture could inhibit the expression of iNOS mRNA in the lumbar intervertebral disk tissue. 展开更多
关键词 Intervertebral Disk Displacement ELECTROACUPUNCTURE INOS
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