可调悬吊式内固定器的研制及临床应用
摘要点击次数: 1612   全文下载次数: 1086   投稿时间:2005-03-16    
作者Author单位AddressE-Mail
周英杰 ZHOU Ying-jie 洛阳正骨研究所,河南洛阳471002 Luoyang Orthopaedic-Traumatological Institute of Henan Province,Henan Luoyang,471002,China  
赵庆安 ZHAO Qing-an 厦门市集美医院  
马虎升 MA Hu-sheng 洛阳正骨研究所,河南洛阳471002 Luoyang Orthopaedic-Traumatological Institute of Henan Province,Henan Luoyang,471002,China  
史相钦 SHI Xiang-qin 洛阳正骨研究所,河南洛阳471002 Luoyang Orthopaedic-Traumatological Institute of Henan Province,Henan Luoyang,471002,China  
郑怀亮 ZHENG Huai-liang 洛阳正骨研究所,河南洛阳471002 Luoyang Orthopaedic-Traumatological Institute of Henan Province,Henan Luoyang,471002,China  
曹海云 CAO Hai-yun 洛阳正骨研究所,河南洛阳471002 Luoyang Orthopaedic-Traumatological Institute of Henan Province,Henan Luoyang,471002,China  
郭艳幸 GUO Yan-xing 厦门市集美医院  
期刊信息:《中国骨伤》2005年,第18卷,第7期,第385-387页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:河南省科技攻关计划资助课题(编号:0224630034)
中文摘要:

目的:评价可调悬吊式内固定器(adjustable hang-fixer,AHF)治疗腰椎滑脱的临床疗效。

方法:35例腰椎滑脱患者,男16例,女19例;年龄28~56岁;应用AHF复位固定,后外侧融合或椎板间开窗(interlaminar fenestration)或全椎板切除减压后,椎间植入Cage进行椎体间融合,对所有病例进行定期随访和影像学检查,通过影像学指标和临床功能进行疗效评估。

结果:随访6~36个月,平均18个月,融合率为100%,临床疗效综合评估:优29例,良5例,可1例,优良率97.1%。内固定松动、移位、矫正度丢失1例。

结论:AHF系统固定牢固,操作简单、安全,疗效可靠。
【关键词】腰椎  脊椎前移  内固定器
 
Advanced development and clinical application of adjustable hang-fixer
ABSTRACT  

Objective:To evaluate the clinical effect of adjustable hang-fixer(AHF) on lumbar spondylolisthesis (LS).

Methods:Thirty-five patients of LS were treated with:①reduction and fixation by AHF;②lateral-posterior fusion and posterior decompression through interlaminar fenestration or laminectomy;③intervertebral fusion through intervertebral Cage implant.All the patients were given regular follow-up and image examinations,of which the therapeutic effects were evaluated.

Results:All the patients were followed up from 6 to 36 months with an average 18 months,the rate of the fusion reached 100%.According to standard of clinical effect:excellent 29 cases,good 5 cases,fair 1 case.The rate of excellent and good was 97.1%.Loosening,displacement of the fixation and the correction degree was lost in 1 case.

Conclusion:Being safe and simple in operation,the AHF system can produce stable fixation and reliable therapeutic effect.
KEY WORDS  Lumbar vertebra  Spondylolisthesis  Internal fixation device
 
引用本文,请按以下格式著录参考文献:
中文格式:周英杰,赵庆安,马虎升,史相钦,郑怀亮,曹海云,郭艳幸.可调悬吊式内固定器的研制及临床应用[J].中国骨伤,2005,18(7):385~387
英文格式:ZHOU Ying-jie,ZHAO Qing-an,MA Hu-sheng,SHI Xiang-qin,ZHENG Huai-liang,CAO Hai-yun,GUO Yan-xing.Advanced development and clinical application of adjustable hang-fixer[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(7):385~387
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