成人脊柱标本单侧椎板入路双侧减压前后腰椎管参数CT测量结果比较

doi:10.13481/j.1671-587x.20150526

吉林大学学报(医学版) ›› 2015, Vol. 41 ›› Issue (05): 1050-1054.doi: 10.13481/j.1671-587x.20150526

成人脊柱标本单侧椎板入路双侧减压前后腰椎管参数CT测量结果比较

刘鹏¹, 孙庆², 秦廷正¹, 孙东¹, 程杰¹, 尹小荣³, 崔林³, 秦向征³

1. 吉林大学中日联谊医院骨科, 吉林长春 130033;
2. 吉林大学中日联谊医院放射线科, 吉林长春 130033 ;
3. 延边大学医学院人体解剖与组织胚胎学教研室, 吉林延吉 133002

收稿日期:2015-06-18 发布日期:2015-09-29
通讯作者: 刘鹏,副教授(Tel:0431-89208258,E-mail:l_p@jlu.edu.cn) E-mail:l_p@jlu.edu.cn
作者简介:刘鹏(1975-),男,吉林省辽源市人,副教授,医学博士,主要从事脊柱外科方面的研究。
基金资助:
吉林省科技厅科技发展计划项目资助课题(20130206029SF)

Comparison of CT scan results of lumbar spinal canal parameters between before and after unilateral laminotomy for bilateral decompression in adult spine specimens

LIU Peng¹, SUN Qing², QIN Tingzheng¹, SUN Dong¹, CHENG Jie¹, YIN Xiaorong³, CUI Lin³, QIN Xiangzheng³

1. Department of Orthopedics, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
2. Department of Radiology, China-Japan Union Hospital, Jilin University, Changchun 130033, China;
3. Department of Anatomy and Embryology, School of Medical Sciences, Yanbian University, Yanji 133002, China

Received:2015-06-18 Published:2015-09-29

摘要/Abstract

摘要：

目的:采用解剖学方法探讨单侧入路双侧减压(ULBD)方法治疗退变性腰椎管狭窄症的可行性。方法:选取10具成人脊柱区标本,在尽可能地保护后方韧带复合体的前提下,对标本腰椎各节段进行ULBD手术,手术前后对腰椎各节段行CT扫描,测量上终板、间盘、下终板平面椎管面积、椎管前后径和左右横径。结果:手术后标本的上终板水平、间盘水平和下终板水平椎管纵径、横径及椎管面积均比手术前增大(P<0.01)。结论:在最大限度地保留后方韧带复合体的前提下,ULBD手术能够有效地进行腰椎管扩大,即完成神经减压。

关键词: 单侧入路双侧减压, 退变性腰椎管狭窄症, 微创脊柱外科

Abstract:

Objective To investigate the feasibility of the unilateral laminotomy for bilateral decompression (ULBD) in the treatment of degenerative lumbar spinal stenosis by anatomical study. Methods 10 adult formalin-fixed spine corpse specimens were selected,then the ULBD were performed with the posterior ligaments complex almost intact.CT scans were performed,and the parameters including the maximum anterior-posterior diameter the maximum transverse diameter,and the vertebral spinal canal area were detected before and after operation. Results Compared with before operation,the maximum anterior-posterior diameter and the maximum transverse diameter and the vertebral spinal canal area of corpses after operation were increased(P<0.01). Conclusion With the posterior ligaments complex almost intact,the ULBD could enlarge the lumbar spinal canal and decompress the nerve effectively.

Key words: unilateral approach bilateral decompression, degenerative lumbar spinal stenosis, minimal invasive spinal surgery

中图分类号:

R322.72

刘鹏, 孙庆, 秦廷正, 孙东, 程杰, 尹小荣, 崔林, 秦向征. 成人脊柱标本单侧椎板入路双侧减压前后腰椎管参数CT测量结果比较[J]. 吉林大学学报(医学版), 2015, 41(05): 1050-1054.

LIU Peng, SUN Qing, QIN Tingzheng, SUN Dong, CHENG Jie, YIN Xiaorong, CUI Lin, QIN Xiangzheng. Comparison of CT scan results of lumbar spinal canal parameters between before and after unilateral laminotomy for bilateral decompression in adult spine specimens[J]. Journal of Jilin University Medicine Edition, 2015, 41(05): 1050-1054.

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成人脊柱标本单侧椎板入路双侧减压前后腰椎管参数CT测量结果比较

Comparison of CT scan results of lumbar spinal canal parameters between before and after unilateral laminotomy for bilateral decompression in adult spine specimens

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