《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (07): 627-628.

• 临床观察 • 上一篇    下一篇

人工髓核置换术治疗腰椎间盘突出症疗效随访分析

冯会成; 胡明; 马远征   

  1. 解放军总医院第二附属医院骨科,100091 北京市
  • 收稿日期:2006-01-13 出版日期:2006-07-01 发布日期:2006-07-01

Follow-up of Prosthetic Disc Nucleus Replacement on Lumbar Intervertebral Disc Herniation

FENG Hui-cheng,HU Ming, MA Yuan-zheng   

  1. Department of Orthopedics, Second Hospital Affiliated to the General Hospital of PLA, Beijing 100091,China
  • Received:2006-01-13 Published:2006-07-01 Online:2006-07-01

PDF (PC)

摘要： 目的通过随访评价人工髓核置换术治疗腰椎间盘突出症的远期效果。方法2003年6～8月采用人工髓核置换术治疗腰椎间盘突出症患者16例,其中男10例,女6例,均为单间隙病变,手术节段为L4～510例,L5～S16例,随访28～32月,平均30月。随访内容包括疼痛、物理检查、简式McGill疼痛问卷(MPQ)调查、目测类比法(VAS)和即时疼痛强度(PPI),腰椎正侧位X线片和腰椎MRI检查,根据症状改善情况和影像学资料对比评价手术效果。结果16例患者术后症状较术前均有不同程度减轻,随访时1例假体移位,1例假体脱出,5例手术节段椎间隙高度较术后出现不同程度丢失,1例出现终板塌陷。结论人工髓核置换术治疗椎间盘突出症近期疗效满意,但存在一些潜在并发症。

关键词: 腰椎间盘突出症, 人工髓核置换术, 随访, 并发症

Abstract: ObjectiveFollow-up of the clinical outcome of prosthetic disc nucleus replacement on patients with lumbar intervertebral disc herniation. Methods16 patients with lumar intervertebral disc herniation were implanted prosthetic disc nucleus from June to August 2003, including 10 males and 6 females. The operation levels were at L4-5 in 10 patients and L5～S1 in 6 patients. All patients were followed up from 28 to 32 months (averaged 30 months). The contents include pain, physical examination, Short-form of McGill Pain Questionnaire investigation, Visual Analogue Scales(VAS) and Present Pain Intensity(PPI), X-ray and MRI examination, etc. ResultsAfter surgery, 16 patients experienced clinical symptom relief, the displacement of PDN in 1 case and dislocation in 1case, the height of intervertebral space becoming narrower in 5 cases and endplate subsiding in 1 case. ConclusionProsthetic disc nucleus replacement acquired satisfactory after operation, but some complication may occurre in long-term.

Key words: lumbar intervertebral disc herniation, prosthetic disc nucleus replacement, follow-up, complication