骨骺离断_____腰椎；骨骺离断；诊断；手术

腰椎椎体后缘骺环离断症的诊治

http://www.100md.com 《中国矫形外科杂志》 2006年第3期

骨骺离断,,腰椎；骨骺离断；诊断；手术,1临床资料,2结果,3讨论,参考文献：

     (青岛大学医学院附属医院骨科，山东省创伤骨科研究所，青岛266003)

    摘要：[目的]了解腰椎椎体后缘骺环离断症的发病机理、临床表现和手术治疗。[方法]对16例患有腰椎椎体后缘骺环离断症病人进行随访，对其临床表现、影像学检查进行分析，并对手术治疗的效果进行评估。[结果]此病发病年龄较轻，临床表现为腰椎间盘突出及椎管狭窄的症状，根据突出的范围和类型可采取不同的手术方法，手术治疗效果良好。[结论]通过CT检查可把腰椎椎体后缘骺环离断分为软骨板破裂后移型、Schmorl结节型、撕脱骨折型3种类型，手术治疗可取得良好效果。

    关键词：腰椎；骨骺离断；诊断；手术

    Diagnosis and treatment of the posterior margin separation of lumbar vertebral epiphysis∥

    WANG Dechun,CHEN Xiaoliang,ZHENG Xiujun,et al

    Orthopedic Department,The Affiliated Hospital of Qingdao University Medical College,Qingdao 266003

    Abstract：[Objective]To study the pathogenesis,clinical manifestation and surgical treatment of the posterior margin separation of lumbar vertebral epiphysis[Method]Sixteen patients suffering from the posterior margin separation of lumbar vertebral epiphysis were followed upThe clinical manifestation and radiologic examination were analyzed and results of surgical treatment were evaluated[Result]The patients were usually young and manifested with the sign and symptom of lumbar disc herniation and/or lumbar stenosisCT was helpful for the accurate diagnosis of this diseaseThe different surgical measures were taken for the treatment according to the type and range of protrusion[Conclusion]The posterior margin separation of lumbar vertebral epiphysis were divided into three types:end plate separation and moving into posterior margin,Schmorl node and avulsion fractureThe good results can be obtained with surgery ......

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