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减压病

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Methods:keep supraspinous ligament,interspinous ligament ,thoracolumbar and the periosteum of lamina.The supraspinous ligament and interspinous ligament was cut off below affected spinal canal.The lamina was cut off longitudinally with a chisel along the outside of lamina,detach ligament flavum bilaterally,and reverse upward lamina and the compound structure of back to open spinal canal.

将部分腰背筋膜、棘上韧带、棘间韧带及椎板上骨膜保留,于病变节段下一椎间隙切断棘上棘间韧带,用骨刀(骨刀宽面与矢状面成角10~15度)在上下关节内侧2mm处自下而上并保持骨刀宽面进入椎板深度与椎板厚度相一致切断两侧椎板,牵开椎板及棘上棘间韧带,常规进行椎管减压,椎板及棘上棘间韧带回植。

Treatment of spinal tuberculosis1methods between february 1998 and august 2000 , 12 patients with spinal tuberculosis were operated with anterior vertebrectomy , bone grafting and plating1 evaluation including bone fusionrate , correction of deformity and status of spinal lesion was carried out1results in an average of ten months ,spinal tuberculosis was completely cured and solid bone fusion had taken place in all 12 patients1 the time for bone fusion averaged 518 months and the average angle of correction of kyphosis was 16°1conclusions anterior plating following vertebrectomy and bone grafting offers a complete removal of lesion and decompression of the spinal canal as well as reconstruction of spinal stability1 early rehabilitation and an increased curative rate can be expected through this procedure1

目的 探讨经脊柱前路结核病灶清除的同时植骨内固定的可行性和必要性,以及对脊柱结核的治疗效果。方法1998 年2月~2000 年8 月采用脊柱前路病椎切除加植骨,并采用orion或z-plate 钢板进行椎体固定。共治疗12 例脊柱结核,观察植骨融合及矫正畸形情况和结核病灶愈合情况。结果经平均10 个月的随访,12 例患者脊柱结核均治愈,植骨与受骨区全部骨性融合,融合时间平均为518 个月,后凸矫正角度平均16°。全组病例切口均一期愈合。无手术并发症。结论本方法可经脊柱前路作较彻底的病灶清除,并较好地进行脊柱矫形和椎管减压,完成脊柱稳定性重建,有利于患者早期离床活动和脊柱结核治愈率的提高。

In 19 patients, the spinal canal at the leel of injury was explored and decompressed.

在19例病人中,椎管在在受伤平面探查并且进行减压。

Or pl. verbA manifestation of decompression sickness that is caused by the formation of nitrogen bubbles in the blood and tissues after a rapid reduction in the surrounding pressure and is characterized by pain in the joints and abdomen.

bends高空病:因周围压力急剧减少后在血液和组织中形成氮气泡而引起的一种减压疾病,其症状为关节和腹部疼痛

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