经皮穿刺颈椎间盘切除术前术后伸屈动力性X线分析  

X-ray Analysis before and after Percutaneous Cervical Diskectomy

作　　者：李健[1] 张平[1] 程立明[1] 高梁斌[1] 潘永谦[1] 梁海翔[1] 吕玉明[1] 徐晖[1] 

机构地区：[1]广州医学院附属市二人民医院矫形外科,510150

出　　处：《放射学实践》2005年第4期353-354,共2页Radiologic Practice

摘　　要：目的:探讨经皮穿刺颈椎间盘切除术(PCD)对颈椎稳定性的影响.方法:对30例患者术前术后拍摄颈椎过屈过伸侧位片,术前X线显示无颈椎失稳,分别测量椎体角度位移和椎体水平位移情况.平均随访5年(1～9年).对以上术前和术后测量数据,运用统计学检验方法进行t检验.结果:PCD术后出现1例颈椎失稳,椎体角度位移值13°.但椎体角度位移和椎体水平位移在手术前后差异无显著性意义.结论:PCD术后对颈椎稳定性没有显著影响,PCD是一项安全、可靠、创伤少的手术.Objective:To evaluate the stability of cervical spine after PCD (percutaneous cervical diskectomy).Methods:Lateral roentgenograms of the cervical spine of 30 patients were taken before and after PCD in flexion and extension positions.Mean follow-up period was 5 years (range from 1 to 9 years).The angular displacement (AD) and horizontal displacement (HD) were measured respectively in all the cases and the data were examined by t test.Results:There were no evidence of cervical instability on the X-ray except one patient who showed the cervical instability after PCD (AD 13°),but there was not significant difference in AD and HD.Conclusion:The stability of cervical spine is not significantly affected after PCD.PCD is a safe,effective and less traumatic operation.

关 键 词：颈椎 椎间盘切除术 放射摄影术 

分 类 号：R816.8[医药卫生—放射医学]