Kết quả điều trị trượt đốt sống thắt lưng L4-L5 bằng phẫu thuật lấy đĩa đệm, cố định cột sống ghép xương liên thân đốt tại khoa Phẫu thuật cột sống, bệnh viện Việt Đức

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Ngọc Sơn Đinh, Gia Du Hoàng, Lê Bảo Tiến Nguyễn, Văn Thanh Võ

Ngôn ngữ: vie

Ký hiệu phân loại: 611.835 Human anatomy, cytology, histology

Thông tin xuất bản: Nghiên cứu Y học, 2017

Mô tả vật lý: 102-108

Bộ sưu tập: Metadata

ID: 535546

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Đánh giá kết quả điều trị trượt đốt sống thắt lưng L4-L5 bằng phẫu thuật lấy đĩa đệm, cố định cột sống ghép xương liên thân đốt trên 68 bệnh nhân tại khoa Phẫu thuật cột sống, bệnh viện Việt Đức. Tuổi trung bình của bệnh nhân là la 49,5 ± 10 tuổi, tỷ lệ nam/nữ là 3/1. Thời gian phát hiện bệnh là 38 ± 18 tháng. Thời gian phẫu thuật 123,9 ± 13,2 phút, tai biến trong mổ chiếm tỷ lệ 5,9%, biến chứng gần sau mổ là 25% và biến chứng xa sau mổ là 5,8%. Kết quả điều trị tốt và khá tốt đạt 86,8%, không có kết quả kém theo tiêu chuẩn MacNab. Điều trị trượt đốt sống thắt lưng L4-L5 bằng phẫu thuật lấy đĩa đệm, cố định cột sống, ghép xương lên thân đốt là phương pháp có tính an toàn và hiệu quả cao.Evaluating the results of treatment of L4-L5 lumbar spine surgery by surgery to remove the disc, fixed spine of bone graft, intermittently burned over 68 patients at the Department of Spinal Surgery, Viet Duc Hospital. The average age of the patient is 49.5 ± 10 years, the male/female ratio is 3/1. The time of disease detection is 38 ± 18 months. Surgery time was 123.9 ± 13.2 minutes, complications in surgery accounted for 5.9%, complications after surgery was 25% and complications after surgery was 5.8%. Good and fairly good results achieved 86.8%, no poor results according to MacNab standards. Treatment of sliding L4-L5 lumbar vertebrae by surgical removal of the disc, fixation of the spine, bone grafting on the stem is a method of safety and high efficiency.

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