期刊文献+
共找到2篇文章
< 1 >
每页显示 20 50 100
OLIF联合后路固定手术治疗腰椎退行性病变疗效及功能恢复研究 被引量:3
1
作者 姜亮 李文利 翁张涛 《海南医学》 CAS 2019年第24期3190-3193,共4页
目的探讨斜外侧腰椎椎间融合术(OLIF)联合后路固定手术治疗腰椎退行性病变的疗效及功能恢复情况,为患者治疗提供临床指导。方法选择2017年2月至2019年2月在渭南市第一医院骨科施行手术治疗的115例患者作为研究对象,按照随机数表法分为... 目的探讨斜外侧腰椎椎间融合术(OLIF)联合后路固定手术治疗腰椎退行性病变的疗效及功能恢复情况,为患者治疗提供临床指导。方法选择2017年2月至2019年2月在渭南市第一医院骨科施行手术治疗的115例患者作为研究对象,按照随机数表法分为观察组63例和对照组62例。对照组患者采取OLIF治疗,观察组患者则采取OLIF联合后路固定手术治疗。比较两组患者的手术时间、术中出血量、术后下床时间、住院时间和术后并发症;随访3个月,采用视觉疼痛模拟评分(VAS)、腰椎功能评分(JOA)和Oswestry功能障碍指数(ODI)评分评价疗效,根据影像学检查结果评估功能恢复情况。结果观察组患者的手术时间和术后下床时间分别为(140.33±22.47)min、(2.03±0.89)d,明显长于对照组的(92.55±13.88)min,(1.08±1.01)d,术中出血量为(200.31±61.14)mL,明显多于对照组的(78.29±27.91)mL,差异均有统计学意义(P<0.05);术后3个月,对照组和观察组患者的VAS评分均明显降低,JOA评分都明显升高,且观察组患者VAS评分明显低于对照组[(1.99±0.89)分vs(2.53±0.77)分],JOA评分明显高于对照组[(19.33±2.08)分vs(18.79±2.15)分],差异均有统计学意义(P<0.05);对照组和观察组术后3 d的ODI评分[(60.31±9.36)分、(56.25±8.18)分]和3个月的ODI评分[(41.26±8.38)分、(31.27±8.09)分]明显低于术前[(70.11±10.21)分、(69.33±10.03)分],且观察组明显低于对照组,差异均有统计学意义(P<0.05);观察组患者的并发症发生率为4.76%,略低于对照组的8.06%,但差异无统计学意义(P>0.05);术后3 d和3个月,两组患者的椎间隙高度及椎间孔面积均明显升高,且观察组的椎间孔面积明显高于对照组,差异均有统计学意义(P<0.05),但两组患者的椎间隙高度比较差异无统计学意义(P>0.05)。结论OLIF联合后路固定手术治疗腰椎退行性疾病疗效显著,术后并发症少,腰腿疼痛减轻,功能评分、椎间隙高度和椎间孔面积均提高,更有利于促进腰腿功能恢复。 展开更多
关键词 椎间退行性病变 斜外侧腰融合术 后路固定手术 腰腿疼痛 疗效
下载PDF
Gene expression of collagen types IX and X in the lumbar disc 被引量:2
2
作者 西永明 胡有谷 +3 位作者 吕振华 郑红军 陈岩 齐宗华 《Chinese Journal of Traumatology》 CAS 2004年第2期76-80,共5页
Objective:To study gene expression of collagen types IX and X in human lumbar intervertebral discs during aging and degeneratio n and to explore the role of collagen types IX and X in disc degeneration. Methods:Fetal,... Objective:To study gene expression of collagen types IX and X in human lumbar intervertebral discs during aging and degeneratio n and to explore the role of collagen types IX and X in disc degeneration. Methods:Fetal, adult and pathologic specimens were subjected t o in situ hybridization with cDNA probes to investigate mRNA-expressions of typ es IX and X collagen gene. Results:In fetal intervertebral discs, positive mRNA hybridiza tion signals of type IX collagen were concentrated in the nucleus pulposus and t he inner layer of anulus fibrosus. Interstitial matrix of the nucleus pulposus a lso showed positive type X collagen staining. Positive mRNA hybridization signal s of types IX and X were not detected in the middle and outer layers of anulus f ibrosus. In adult specimens, expression of type IX collagen mRNA was markedly de creased. No hybridization signals of type X collagen was observed. As for pathol ogical specimens, there was no gene expression of type IX collagen. In severe de generated discs from adults, there were focal positive expressions of type X col lagen. Conclusions:Obvious changes of collagen gene expression occur with aging. Expression of type IX collagen decreases in adult and pathological d iscs. Results of type X collagen expression suggest that type X collagen is expr essed only in older adult and senile discs (i.e., when disc degeneration has alr eady reached a terminal stage), indicating the terminal stage of degeneration. 展开更多
关键词 Intervertebral disk Gene expression COLLAGEN In s itu hybridization
原文传递
上一页 1 下一页 到第
使用帮助 返回顶部