摘要
目的:探讨术中可吸收医用膜能否提高腰椎椎板切除术的临床疗效。方法:将2009年2月-2010年7月56例腰椎椎板切除术患者随机分为两组,实验组(28例)术中于椎板缺损处外放置可吸收医用膜,对照组28例不放置该医用膜。随访应用Stauffer-Coventry下腰椎术后疗效评定标准评价手术疗效,比较两组优良率及疗效等级的差异。结果:所有患者手术切口均一期愈合,无不良反应或手术并发症,随访(27.0±4.4)个月。两组手术优良率比较,差异无统计学意义,但实验组术后疗效等级显著高于对照组(P<0.05)。结论:可吸收医用膜能提高腰椎椎板切除术的临床疗效,可能与其防止硬膜外粘连有关。
Objective： To study the effects of the absorbable medical film applied after laminectomy in prevention of peridural adhesion. Methods： The laminectomy was executed in 28 patients, and the absorbable medical film was placed at lamina defect of the experimental group but not the control group. The experimental group was followed and compared with the control group. Results： All the incisions were primary healing, no side- effect was observed. The postoperative conditions of the experimental group was better than that of control group by Stauffer-Coventry standard（P〈0.05）. Conclusion： The absorbable medical film is a kind of excellent material for preventing peridural adhesion.
出处
《中国医学创新》
CAS
2012年第15期11-12,共2页
Medical Innovation of China
关键词
椎板切除
粘连
可吸收医用膜
Laminectomy
Adhesion
Absorbable medical film
