人工腰椎间盘假体及手术相关并发症现状分析  

Surgical complications related to artificial lumbar disc prosthesis

作　　者：张钦翔 陈杨 孟冰 赵雄 Zhang Qinxiang;Chen Yang;Meng Bing;Zhao Xiong(Department of Spine Surgery,Xi Jing Hospital,Air Force Medical University,Xi'an 710032,China;Second Brigade of Cadets,School of Basic Medicines,Air Force Medical University,Xi'an 710032,China;Department of Military Sports Teaching and Research,Medical Service Training Base,Air Force Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学西京医院脊柱外科,西安710032 [2]空军军医大学基础医学院学员二大队,西安710032 [3]空军军医大学卫勤训练基地军事体育教研室,西安710032

出　　处：《中华创伤骨科杂志》2022年第1期84-88,共5页Chinese Journal of Orthopaedic Trauma

基　　金：国家自然科学基金(81300710)。

摘　　要：随着医学的进步及人们对脊柱生理重建的要求不断提高,不同种类的人工腰椎间盘假体也得到蓬勃发展。从第一代Charité假体到第二代ProDisc-L假体,再到目前的第三代Activ-L Systems假体都在临床进行了大量应用,此外还有Acroflex、Maverick、XL TDR、M6-L等其他产品也获得批准应用。本文就人工腰椎间盘假体应用的相关文献进行综合分析,按照非限制型、半限制型、限制型、整体式弹性体、限制型+弹性芯、整体式横向植入等不同的设计特点,将相应假体的并发症进行综述,为后续假体设计改进和应用提供参考。As a result of medical advancement and increasing requirements for the physiological reconstruction of the spine,various kinds of artificial lumbar prostheses have flourished.The first-generation Charitéprosthesis,the second-generation ProDisc-L prosthesis and the third-generation Activ-L Systems prosthesis have all been applied widely in clinic.In addition,Acroflex,Maverick,XL TDR,M6-L and other products have also been approved for clinical application.This article reviews the literature on application of artificial lumbar intervertebral disc prostheses to conduct a comprehensive analysis of the surgical complications related to the different design features of the prostheses like unconstrained,semiconstrained,constrained,one elastomeric piece,constrained plus elastic core and integral lateral implantation,hoping to provide references for subsequent improvement in design and application of the prosthesis.

关 键 词：腰椎 假体和植入物 假体失效 手术中并发症 手术后并发症 

分 类 号：R687.3[医药卫生—骨科学]