同种异体颈椎间盘移植术的手术护理  

Nursing of allogeneic intervertebral transplantation disc surgery

作　　者：杨莉 谢倩 

机构地区：[1]海军总医院手术室,北京市100048

出　　处：《护理实践与研究》2015年第7期79-80,共2页Nursing Practice and Research

摘　　要：目的：探讨同种异体颈椎间盘移植治疗颈椎间盘疾患的手术配合方法。方法：选择2000年1月~2014年6月行同种异体颈椎间盘移植治疗患者29例,均经颈前入路手术行同种异体椎间盘移植,未使用其他内固定装置。临床功能分别采用 VAS 疼痛评分、颈椎功能障碍指数（NDI）及 JOA 评分系统评估。结果：29例患者平均手术时间1.5 h,平均失血量55 ml。术后血常规等检查均正常,无感染、脱位等并发症。术后各随访时间点患者颈肩及上肢疼痛 VAS 评分,NDI,JOA 评分较术前相比明显改善（P 〈0.05）。结论：充分的术前准备和准确的术中配合提高了手术成功率,同种异体椎间盘移植保持了良好椎间高度与活动度,临床应用效果良好。Objective：To analyze cooperation methods of multi - center allogeneic transplantation for the treatment of cervical disc disease disc surgery. Methods：There were a total of 29 cases with cervical degenerative diseases,and they were confirmed by anterior approach surgery disc allograft transplanta-tion,not the other fixation devices. Clinical features were used pain VAS score,cervical dysfunction index （NDI） and the JOA scoring system. Results：The mean operative time 1. 5 h,the average blood loss was 55 ml. Postoperative blood and other tests are normal,no infection,dislocation and other complica-tions. Postoperative follow - up time points for each patient neck and shoulder and upper limb pain VAS score,NDI,JOA score （P ＆lt; 0. 05）. Conclusion：Ad-equate preoperative preparation and accurate surgery with improving the success rate of surgery,allogeneic transplant to maintain a good intervertebral disc height and activity,clinical use to good effect.

关 键 词：同种异体 椎间盘移植 手术室护理 

分 类 号：R473.6[医药卫生—护理学]