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objective to study the clinical therapeutic efficacy of posterior vertebral pedicle screw fixation plus intervertebral, isthmic and posterolateral bone grafting for lumbar isthmic spondylolisthesis.

目的:探讨应用后路椎间、部及后外侧植骨加椎弓根钉内固定术治疗部裂性腰椎滑脱症的疗效。

There were 31 lumbar isthmic spondylolisthesis cases were treated by granule cancellous bone grafting and vertebral pedicle screw fixation. All of 31 cases were evaluated by standard of Hou Shu-xun and fusion rate after operation.

采用松质骨颗粒椎间植骨、部及后外侧植骨加椎弓根钉系统复位固定治疗部裂性腰椎滑脱症31例,术后采用侯树勋等制定的疗效评定标准及融合率来评价临床疗效。

Methods Four lumbosacral spinal specimens of human were used to manufacture the intact segmental specimen, then the specimen models were worked out by cutting the isthmic of intact specimens with wire-saw, and then one pure bone-towel or one anterior fusing cage was inserted separately into the model's interbody space to stable the model. Finally, all of the specimens' stiffness of the upper four conditions was measured.

使用4具人尸腰骶椎骨制成空白运动节段标本,用线锯锯断椎弓部法制成部裂模型标本,再分别用单纯骨块、AFC置入模型标本椎间隙以固定该节段,测试以上4种状态下节段标本的应变、位移、刚度。

Results C/EBPαand C/EBPβexpressed differently in the outer root sheath,follicular papilla,hair matrix and sebaceous gland in embryonic period.The positive signals were chiefly distributed in the nucleˉuses.The expression of C/EBPαand C/EBPβwere found in the basal cell layer of outer root sheath and sebaceous gland in the new born and maturation phase,The expression in nucleuses of outer root sheat cells decreased with the differentiation but enhanced oppositely in the cytoplasm.

结果 C/EBPα和C/EBPβ分别在胚胎期毛囊外根鞘,毛乳头,毛母质及皮脂腺细胞的胞核内强表达;新生儿毛囊部下端外根鞘基底层细胞的胞核内也存在强表达,基底内层胞核阳性信号逐渐减弱;而成体毛囊核内阳性信号仅定位于部下端外根鞘基底层及皮脂腺基底层。

SCT MPR techniques have good display ability in spondyloschisis and its secondary abnormity, it is an ideal method in spondyloschisis diagnosis.

SCT容积扫描,MPR重建对部裂及其相关继发病变具有良好的显示能力,是检出部裂及其继发病变的较理想成像方法。

Results: from the 729 clinic patients X-ray find the spondyloschisis with no spondylolisthesis was 0.68%, with spondylolithesis was 2.79%.

结果:729例病人中X光对于不伴有椎体滑脱的椎弓部裂的检出率约为0.68%,对于有椎体滑脱的椎弓部裂检出率约2.79%。

MSCT MPR and VR techniques show good display ability in spondyloschisis and its secondary abnormity, it is an ideal method in spondyloschisis diagnosis.

MPR、VR重建成像对部裂及其相关继发病变具有良好的显示能力,是检出部裂及其继发病变的理想成像方法。

CT was a reliable method at diagnosis of spondyloschisis, which can show the same lay of spondyloschisis from vertebral and small vertebral arthrosis clearly, and help to differentiate diagnoses.

对椎弓部裂CT扫描是一个可靠的手段,反角度扫描可以将椎弓部裂与椎间小关节同时清晰地展示于一个层面,有利于对该病的诊断及鉴别诊断。

Methods To select 42 lumber spondyloschisis cases which confirmed by CT post??processing, compare its MPR image with routine CT axial image of arcus vertebrae, evaluate their display ability of spondyloschisis.

搜集腰椎SCT容积扫描,经后处理重建检出的腰椎部裂42例,分析其MPR成像的CT表现,评价对部裂及其继发病变的显示情况。

Methods To select 42 lumber spondyloschisis cases which confirmed by CT postprocessing, compare its MPR image with routine CT axial image of arcus vertebrae, evaluate their display ability of spondyloschisis.

搜集腰椎SCT容积扫描,经后处理重建检出的腰椎部裂42例,分析其MPR成像的CT表现,评价对部裂及其继发病变的显示情况。

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