李玉民,汪韬,夏勇,朱海峰,韩晓斌,余国春.经皮激光腰椎间盘减压术后腰椎关节突关节和椎间高度的变化[J].中国脊柱脊髓杂志,2007,(7):.
经皮激光腰椎间盘减压术后腰椎关节突关节和椎间高度的变化
Lumbar facet joint change and intervertebral height loss after percutaneous laser disc decompression
  
DOI:
中文关键词:  椎间盘突出症  腰椎  激光  减压  关节突关节
英文关键词:Intervertebral disc protrusion,Lumbar spine,Laser,Decompression,Facet joint
基金项目:致谢:感谢北京大学第三医院骨科党耕町教授对本文的指导!
李玉民  汪韬  夏勇  朱海峰  韩晓斌  余国春
[1]北京大学民航临床医学院骨外科,北京市100025 [2]北京大学民航临床医学院放射科,北京市100025
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中文摘要:
  目的:观察经皮激光椎间盘减压术(percutaneous laser disc decompression,PLDD)治疗腰椎间盘突出症术后腰椎关节突关节和椎间高度的变化。方法:应用半导体激光系统对32例腰椎间盘突出症患者进行PLDD治疗。29例患者为单节段突出,其中L3/4 3例,L4/5 18例,L5/S1 8例;3例患者同时合并IA/5和L5/S1节段突出。利用Macnab标准评价随访患者的疗效,并观察术前、术后椎间盘突出节段关节突关节角的形态,测量L3,4、L4/5和L5/S1椎间高度指数和椎间盘突出节段关节突关节角的角度。结果:所有患者无术中和术后并发症。随访14~22个月,平均17个月,按Macnab标准评价:优14例(43.75%),良13例(40.63%);可3例(9.37%),差2例(6.25%),优良率84.38%。术后L5/S1椎间高度指数与术前相比显著性下降(P〈0.05),但L3/4和L4/5椎间高度指数无显著性改变;关节突关节无明显退变;L4/5和L5/S1椎间盘突出侧的关节突关节角角度显著性下降(P〈0.05),但L3/4椎间盘突出侧的关节突关节角度无显著性改变。结论:经皮激光腰椎间盘减压术后患者的L5/S1椎间高度和腰椎间盘突出侧关节突关节角角度下降.有可能增加腰椎滑脱的风险。
英文摘要:
  Objective:To investigate the influences of percutaneous laser disc decompression (PLDD) on the lumbar facet joint and intervertebral height.Method:Thirty two cases of lumbar disc protrusion were treated with PLDD using semiconducting laser system.Among al
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