椎间盘内破裂症的诊断和经椎间孔腰椎间融合术的手术治疗Diagnose of internal disc disruption and clinical results of trasforaminal lumbar interbody fusion in internal disc disruption
孙宏志;李兵;卓祥龙;陈耀辉;程珂琳;肖增明;
摘要(Abstract)：
[目的]探讨椎间盘造影对诊断椎间盘内破裂症的意义和经椎间孔腰椎间融合治疗盘内破裂症的效果。[方法]对25例下腰痛的患者进行椎间盘造影术,诊断椎间盘内破裂症20例,其中18例接受经椎间孔腰椎间融合术。[结果]18例均得到随访,12～24个月,平均16个月,采用Oswestry功能障碍指数评分,术前平均35分,术后12个月平均为12分,融合率100%。无1例发生严重并发症。[结论]椎间盘造影术是诊断椎间盘内破裂症的一种可靠方法,经椎间孔腰椎间融合术治疗盘内破裂症,具有安全、有效,创伤小并且并发症少的优点。
关键词(KeyWords)： TLIF;椎间盘内破裂症;椎间盘造影
基金项目(Foundation):
作者(Author): 孙宏志;李兵;卓祥龙;陈耀辉;程珂琳;肖增明;
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