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腰椎管狭窄症减压内固定椎间融合术的近期并发症(附195例分析) 被引量:13

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摘要 [目的]探讨腰椎管狭窄症减压内固定椎间融合术的近期并发症及治疗体会。[方法]2006年2月~2009年5月,通过腰椎管狭窄症减压椎弓根内固定、椎间融合器及自体植骨治疗195例腰椎管狭窄症患者,男123例,女72例;年龄42~82岁,平均60.5岁。椎管狭窄节段:L3、419例,L4、510例,L5S142例,L3、4+L4、5105例,L4、5+L5S119例。[结果]195例患者术后症状均有不同程度的好转,并发症发生率:硬膜外血肿2例,占1.0%,螺钉位置不佳刺激神经根,需手术调整1例,占0.5%,浅表感染29例,占15.4%,硬膜撕裂9例,占4.6%,2例椎间融合器向后稍移位,占2%。[结论]腰椎管狭窄症减压内固定椎间融合术后并发症较多,对并发症的防治措施进行了探讨。
出处 《中国矫形外科杂志》 CAS CSCD 北大核心 2012年第11期1053-1054,共2页 Orthopedic Journal of China
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