棘突椎板侧翻造盖治疗腰椎管狭窄症人干标本研究  

Investigation of Dry Specimen about Spinal Process Vertebral Plate Shelf Operation with Lumbar Spinal Stenosis

作　　者：裴宪武[1] 杨冬立[1] 孔祥禄[1] 史宗新[1] 胡振强[1] 陈宁[1] 赵秀珍[1] 王坤正[2] 

机构地区：[1]北京市房山区良乡医院骨科,北京102401 [2]西安交通大学第二医院骨科,陕西西安710041

出　　处：《实用骨科杂志》2011年第7期611-613,共3页Journal of Practical Orthopaedics

基　　金：首都医学发展科研基金资助项目(2007-3184)

摘　　要：目的为在临床上施行棘突椎板侧翻造盖术提供理论和实验室依据。方法对20套腰L3、L4、L5人脊柱干标本施行棘突椎板侧翻造盖,测量椎板及棘突的高度,重塑椎管,再做术前和术后的腰椎CT,然后将图像用photo-shop软件处理,测量术前和术后椎管面积。结果棘突高度等于原来椎板高度,术后无明显骨缺失,术后面积大于术前面积。结论翻转后的棘突椎板可以扩大原来的椎管,这种术式可以作为防止椎板切除术后硬膜外黏连的可行选择。Objective To provide the theoretical and experimental foundation for performing spinal process vertebral plate shelf operation with lumbar spinal stenosis for prevention of Epidural adhesion.Methods The spinal process vertebral plate shelf operation was preformed on 20 cases′ lower lumbar vertebraes,and height of vertebral plate and spinal process was measured,the area of vertebral canal was calculated at before-operation and post-operation on the CT image by Photoshop software.Results The height of spinal process was similar to that of vertebral plate,the shelf wasn′t lack of bone.The postoperative spinal canal area was larger than that of preoperative.Conclusion The lumbar canals were expanded after the operation of turning over spinal process and vertebral plate,and which was a alternative method to prevent epidural adhesion and spinal canal restenosis.

关 键 词：棘突椎板 腰椎管狭窄 硬膜黏连 干标本 

分 类 号：R681.57[医药卫生—骨科学]