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俯卧屈膝位预防后路腰椎间盘手术中神经牵拉伤临床研究

李曙明 邱裕生 周晓玲 张银刚 王莹 尹战海

陕西医学杂志Issue(11):1460-1461,1464,3.
陕西医学杂志Issue(11):1460-1461,1464,3.

俯卧屈膝位预防后路腰椎间盘手术中神经牵拉伤临床研究

Prevention of nerve traction injury in intervertebral disc surgery through posterior approach by improved surgical prone and knee flexion positioning

李曙明 1邱裕生 1周晓玲 1张银刚 1王莹 1尹战海1

作者信息

  • 1. 西安交通大学第一附属医院骨科 西安710061
  • 折叠

摘要

Abstract

Objective:To evaluate the clinical result of improved surgical positioning in surgical prone and knee flexion in the treatment of lumbar intervertebral disc herniation .Method:146 patients with lumbar interverte-bral disc herniation were treated by disc resection and vertebral interbody fusion by improved surgical prone and knee flexion positioning ,compared with 217 controls by traditional operative positioning .Clinical results of nerve root in-jury were recorded and analyzed .Results :6 patients in improved positioning group had suffered nerve injury (4 . 1% ) ,while 53 in controls (12 .44% ) .Conclusion:The improved operative positioning could decrease the incidence of the nerve injury significantly compared with conventional position ,which is worthy of wide application .

关键词

椎间盘移位/外科学/神经损伤/预防/体位

Key words

Intervertebral disc displacement/Surgerg/Nerve injurg/Prevention/Posture

分类

医药卫生

引用本文复制引用

李曙明,邱裕生,周晓玲,张银刚,王莹,尹战海..俯卧屈膝位预防后路腰椎间盘手术中神经牵拉伤临床研究[J].陕西医学杂志,2013,(11):1460-1461,1464,3.

基金项目

国家自然科学基金项目(30801173)陕西省自然科学基金项目(2010JM4006)中央高校基本科研业务费专项资金资助 ()

陕西医学杂志

OACSTPCD

1000-7377

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