健侧经皮侧前入路穿刺腰45椎间盘靶点髓核摘除术

《健侧经皮侧前入路穿刺腰45椎间盘靶点髓核摘除术》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、万方数据目录中文摘要⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯。1英文摘要⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯o⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯3符号说明⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯．5—1L—jL．刚f舌⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯6资料与方法⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯7结果⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯．10讨论⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯

2、⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯．14结论⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯．18附图⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯．19参考文献⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯．25综述⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯．27j变谢⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯．47攻读学位期间发表的学术论文⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯一48原创性声明⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯

3、⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯．49万方数据万方数据察山医学院硕一卜学位论文月为2．6+1．5，手术前后比较差异有统计学意义(P<0．01)。患者手术前ODI指数为65．8+22．3，术后3个月为23．6-士12．0，术后6个月为12．9+7．0，手术前后比较差异有统计学意义(P<0．01)。根据改良MacNab疗效评价标准：优64例，良5例，可2例，差l例，优良率95．8％，有效率为98．6％，无严重并发症发生。结论健侧经皮侧前入路穿刺腰4／5椎问盘靶点髓核摘除术穿刺路径没有重要的脏器和血管、神经结构，具有可行性。

4、在严格选择好适应症、掌握手术操作要点的前提下，治疗效果满意。关键词：腰椎：经皮椎间盘摘除术；介入放射学；侧前入路万方数据泰山医学院硕一I二学位论文THEPERCUTANEOUSANTERIORLATERALDISCECTOMYFORTHEINTERESTAREAoF4／5LUMBARFROMBackgroundUNAFFECTEDSIDEPostgraduate：GaoXi-jieSpeciality：ImagingandNuclearMedicineTutor：Prof．SunGangABSTRACTLumbardisch

5、erniationisacommonclinicaldisease，patientswiththisdiseasehavegreatpainandtendtoloselaborability．Thisdiseaseneedoperationtreatmentifconservativetreatmentareinvalid，buttherearestillsomepatientsrelapseaftertheoperation，evenoccurtheemergenceofspinalinstabilitycomplicat

6、ions．Interventionaltherapyandtraditionalopenoperationhasthecharacteristicsofsmalltrauma,fewercomplications，fasterrecoverycomparedtothetreatmenteffectofthecase．Therearemanykindsofinterventionaltreatmentoflumbardischerniationappliedinclinicalpractice，andcurrentlyinth

7、econtinuousimprovementanddevelopment．However,muchmoreproblemsarestillcontroversial，mainlyintheaspectsofcomplicationandcurativeeffect，therewasnotechnologysuitableforallpatients，notechnologyadvantageabsolutesafety．Interventionaltreatmentoflumbardischemiationtechnolog

8、yshouldbefurtherstudiedforvarioustechnicalindicationsforsymptoms，etiologyandpatientswithdifferent，choosetheappropriatetreatment,foratechnologytod