【摘要】 [目的]探讨人工椎间盘置换治疗腰椎间盘病的疗效。[方法]对23例24节段腰椎间盘病,采用人工椎间盘置换,其中男13例(14节段),女10例;平均年龄45.2岁,累及L1、21例,L4、55例,L5S117例。以椎间盘突出症为主的椎间盘病19例,骶椎类肿瘤1例,因原椎节段椎间盘摘除术后6~8.5 a复发3例。[结果]23例平均随访4.2 a,患椎伸6.8°、屈6.7°,左右旋转17°,比术前患椎活动度伸4.1°、屈4.7,°旋转6.8°,有明显进步(P<0.05)。结合患者的满意度和JOA评价,疗效优(31~40)21例,良(21~30)1例,可(16~20)1例,无失败(<16),优良率96.2%。[结论]人工椎间盘置换术是替代腰椎间融合术和治疗腰椎间盘病的有效方法。更多还原

【Abstract】 [Objective]To evaluate clinical treatment outcome for lumbar disc disorders with total disc replacement(TDR.[Method]Tweenty-three cases（24 levels）of lumbar disc disorders,13 males and 10 females were treated with SB ⅢCharité artificial disc arthroplasty.The age was 38⁶1 years,with the average of 45.2.The involvement levels were L_1、2one patient,L_4、5 five,L₅S₁seventeen.19 cases with lumbar disc disorder and lumbar disc henia mainly,one with bone like-tumor on 1st sacrum,three had a relapse with the same level of lumbar disc hernia 6⁸.5 years after operation.[Result]Twenty-three cases were followed up from two to six years,with the average period of 4.2 years.The degree of the motion of spinal levels through radiograph including in extension 6.1,flexion 6.7,rotation 17,which were better than the range of motion before operation(P<0.05.The high of intervertebral space was raised from 5.7mm to 8.9mm.According to JOA and authors evaluation system for the spinal levels,21 cases were rated as being excellent(31⁴0,one good（21³0）and one poor(16²0,no fair(<16.The total rate of being excellent and good was 96.2%.[Conclusion]It is an effective method of the lumbar TDR（LTDR）which would attend to the lumbar intervertebral bodys fusion and treatment of the lumbar disc disorders with lumbar disc hernia mainly.更多还原