頁籤選單縮合
題名 | Clinical Results of Anterior Cervical Discectomy without Interbody Fusion=前頸椎間盤切除無骨融合的臨床結果 |
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作 者 | 劉安祥; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 14:4 1998.04[民87.04] |
頁次 | 頁212-216 |
分類號 | 416.29 |
關鍵詞 | 前頸椎間盤切除無骨融合; Anterior discectomy; Cervical spine; Fusion; |
語文 | 英文(English) |
中文摘要 | 從1988至1994年,42位病人在診斷頸椎間盤突出或椎關節黏連,接受前頸椎間盤切除無骨融合,且使用顯微手術,42位病人中有29位男性,13位女性,他們年齡從30至77歲,有28位病人接受單節手術,14位病人接受雙節手術,在15位軟性椎間盤突出,接受手術其術後獲得好結果佔93%,在27位硬椎間盤(椎關節黏連),接受手術後獲得好結果佔59%,有26位病人接受術後追蹤X光的檢查,43%的病人有術後椎間距離縮小現象,28%的病人有椎體融合的現象,分析何種因素影響手術的結果,知急性發作俱有意義的影響開刀結果。 回顧已報的文獻,本篇的臨床結果與他們無明顯差異,因此建議對於軟性頸椎間盤突出,優先選擇手術的方法―前頸椎間盤切除無骨融合。 |
英文摘要 | A retrospective review of 42 pateints who had undergone anterior cervical discectomy without bone fusion using an operating microscope was performed to analyze the results in patients who had a diagnosis of soft disc herniation or spondylosis between 1988 and 1994. There were 29 males and 13 females (age range, 30 to 77 years). Discectomy of single level was performed In 28 cases and at two levels In 14 cases. A soft disc lesion was found In 15 patients and a hard disc In 27 pateints. A good result was achieved In 93% of patients with soft disc and 59% of those with hard disc lesion. Twenty-six patients underwent radiological evaluation after the surgical intervention. Collaps&of disc space was observed in 43% of these and vertebral fusion in 28% of these. In analysis of the Influencing factors, it can 6e seen the pattern of the onset of symptoms significantly Influences the surgical result. A comparison of our results at follow-up with published series In which the anterior cervical discectomy without bone fusion was used, shows no significant differences. Therefore, we recommend the anterior discectomy without fusion as the treatment of choice for soft disc lesion. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。