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Because of the complications of abdominal organs injury or retrograde ejaculation after ALIF, and the high risk of nerve injury after PLIF, these two surgeries were reduce to perform in clinic nowadays. While TLIF has be consider to have less risk of injuries of nerve root, cauda equine, dura matar, and less incidence of lumbar unsteadiness and spondylolithesis.

研究背景腰椎椎体间融合术是目前治疗椎间盘源性下腰痛、腰椎滑脱症、腰椎不稳症等原因引起的下腰痛效果较为满意的一种腰椎融合手术方式,其主要分为前路椎体间融合术、后路椎体间融合术以及经关节突入路椎体间融合术。

To discuss the different influence of cataplasia in the adjacent lumbar segmenta and offer theoretical instruction for clinic,the research was carried out by observing the biomechanical influence in the adjacent segmenta after different lumbar intervertebrae been fused.

通过对不同腰椎水平椎间融合后对邻近节段生物力学影响的研究,探讨因融合在不同腰椎水平对邻近节段退变影响的差异,为临床行腰椎融合术时提供指导意义。

Objectives 】 To discuss the different influence of cataplasia in the adjacent lumbar segmenta and offer theoretical instruction for clinic,the research was carried out by observing the biomechanical influence in the adjacent segmenta after different lumbar intervertebrae been fused.

通过对不同腰椎水平椎间融合后对邻近节段生物力学影响的研究,探讨因融合在不同腰椎水平对邻近节段退变影响的差异,为临床行腰椎融合术时提供指导意义。

Results]The average age and the rates of segmental instability, degenerative scoliosis, loss of lumbar lordosis in patients with lumbar stenosis and severe back pain were higher than those with lumbar stenosis and typical claudication.

结果]腰痛明显组的腰椎管狭窄症患者的平均年龄、腰椎节段性失稳率、腰椎前凸消失和退变性侧弯的比率高於间歇性跛行组的腰椎管狭窄症患者。

Cancellous bone from the lumbar proteomic expression analysis show that actin, keratin, enolase, ATP synthase, the expression of myosin may be related to ovarian lumbar cancellous bone after osteoporosis-related happened; Qiang Gu Bao Po on the lumbar spine osteoporosis intervention effect may be related to reduced carbonic anhydrase, actin, crystal protein, 3- phosphoglycerate dehydrogenase, serum albumin, ATP synthase, myosin, the enolase expression.

腰椎松质骨蛋白质组表达分析可知,肌动蛋白、角蛋白、烯醇化酶、ATP合酶、肌球蛋白的表达增强可能与去卵巢后腰椎松质骨骨质疏松的发生相关;强骨宝对腰椎骨质疏松的干预效应可能与下调碳酸酐酶、肌动蛋白、αB-晶体蛋白、3-磷酸甘油醛脱氢酶、血清白蛋白、ATP合酶、肌球蛋白、烯醇化酶的表达有关。

Objective:To analyze the clinical effect of lumbar fusion cage in the treatment of lumbar regressive disease.

目的:分析80例使用腰椎融合器患者的疗效,评价腰椎融合器在治疗退行性病变腰椎疾病中的应用效果。

Bathing in the sea can also enhance the human heart and lung function, weight loss, improve limbs, joints and spine flexibility, increase muscle strength and improve the limbs, joints and spine function, slow the degeneration of joints and spine, thus preventing cervical spondylosis of contemporary white-collar occupational ---, lumbar degenerative diseases such as lumbar disc herniation, degenerative lumbar spinal stenosis, lumbar instability, etc.

海水浴还能增强人体心肺功能,减肥,提高四肢、关节和脊柱的灵活性,增加肌肉力量,改善四肢、关节和脊柱功能,延缓关节和脊柱的退变,从而预防当代白领职业病---颈椎病、腰椎退行性疾病(如腰椎间盘突出症、退行性腰椎管狭窄、腰椎不稳等)。

Solves this symptom method to divide into the surgery and the non-surgery treats, the non-surgery treats for example the physical property treatment and the pharmacological treatment, the effect is not often good, the surgery treats may divide into the traditional surgery and micro creates the surgery two kinds, the traditional surgery method is in the lumbar vertebra fusion the pexia, although this method excised has created the lumbar vertebra narrow yellow ligament and the small surface joint, but the surgery time was long, the wound was big as well as although the lumbar vertebra fusion and fixed has removed the pathological change stage abnormal movement, but the neighbor stage's abnormal movement increased, between the awl in plate's pressure elevated obviously, the small articular process exceptionally drew back changes with the fixed stage bone quantityThe loss, causes the fixed stage vertical motion stage to draw back changes ASD[1], but new micro creates the surgery is opens a small wound in the back, and implants the interspinal to open, then solution lumbar vertebra narrow sickness question.

解决此种症状的方法分为手术及非手术治疗,非手术治疗例如物理性治疗和药物治疗,往往效果不佳,手术治疗又可分为传统手术和微创手术二种,传统手术方法就是腰椎融合内固定术,虽然此种方法切除了造成腰椎狭窄的黄韧带和小面关节,但手术时间长,伤口大以及腰椎的融合和固定虽去除了病变节段的异常活动,但邻近节段的异常活动增加,锥间盘内的压力明显升高,小关节突的异常退变和固定节段的骨量丢失,导致固定节段上下运动节段的退变ASD[1],而新型的微创手术是在背部开一个小伤口,并植入棘突间撑开器,进而解决腰椎狭窄症的问题。

Objective: To provide anatomic data of vessels at the anterior aspect of lumber vertebrae for transperitoneal approach lumbar anterior minimally invasive surgery. Methods: This study investigated 30 human cadavers and 120 patients' magnetic resonance images, to study the major vascular anatomy of the anterior aspect of lumber vertebrae, and observe the relationship of the confluence of the common iliac veins with vertebral body or disc, as well the relationship of left iliac vein and L5~S1 disc.

目的:为经腹膜腰椎前路微创手术提供腰椎前方血管的解剖学依据;方法:选择30例防腐固定尸体标本及120例腰椎MRI断层数据,观察下腰椎区域髂总静脉的解剖学特点;根据腰椎前方血管的断层图片判断髂总静脉汇合点对应椎体的位置;L5~S1前方左髂总静脉对应椎间盘的位置。

They were divided into two groups:elderly group(with 3 or more centrums hyperosteogeny) and younger group(with less than 3 centrums hyperosteogeny). Then they were evaluated according to Meyerding method and analyzed by χ2 and Fisher accurate probability examination.Results Among the younger group,any degree of lumbar spondylo-listhesis had all prominent relationship with spondylolysis.

方法回顾2002年以来笔者所在医院放射科腰椎滑脱患者316例,对腰椎滑脱采用Meyerding法分级,把腰椎滑脱的患者分为老龄组(腰椎同时有3个以上椎体骨质增生)及青年组(腰椎未见骨质增生或有1~2个椎体骨质增生),同时,在不同年龄组中对不同程度腰椎滑脱患者分组并利用SPSS13.0进行χ2和Fisher精确概率检验分析,得出结论。

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