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防止椎板切除术后纤维疤痕粘连压迫神经的实验研究

EXPERIMENTAL STUDY ON PREVENTION OF NERVE PRESS BY FIBROUS SCAR ADHESION AFTER LAMINECTOMY

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【作者】 张丙磊王道谦任守松崔秀珍张培功

【Author】 Zhang Binglei;et al(Department of Orthopaedics,Affiliated Hospital,Binzhou Medical College,Binzhou,256603)

【机构】 滨州市附属医院骨科

【摘要】 在4个平面间隔切除11只山羊的椎板,分别用硅胶膜、自体游离脂肪片、带蒂肌瓣覆盖硬膜,一处平面作空白对照。术后4个月处死动物,行组织学检查,术前及处死动物前行CTM检查,测量硬膜囊矢径、横径。结果显示,硅胶膜与脂肪片能明显防止推板切除术后纤维疤痕粘连对硬膜囊的压迫,带蒂肌瓣优于对照组,但不及前两者。

【Abstract】 Eleven goats underwent laminectomy in 4 interval planes.The dura were covered with silicon membrane,free fat and pedicled muscle,respectively.One plane was not treated as a control group.The goats were killed at the 4th postoperative month and the histological examination was performed.The computed tomography myelography(CTM)was carried out and the cross,sagittal diameters were measured before operation and before the goats were killed.The results showed that the silicon membrane and the free fat could obviously take precautions against press of dural sac by fibrous scar adhesion after laminectomy.The pedicled muscle group was superior to the control group,but inferior to either of the formers.

【关键词】 椎板切除术硬膜囊硅胶膜带蒂肌瓣山羊
【Key words】 laminectomydural saccomplicationprevention
【基金】 山东省卫生厅资助
  • 【文献出处】 滨州医学院学报 ,JOURNAL OF BINZHOU MEDICAL COLLEGE , 编辑部邮箱 ,1996年01期
  • 【分类号】R619
  • 【被引频次】1
  • 【下载频次】22
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