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ORANGE EKSTRAKLASA



Dołączył: 21 Lut 2011
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PostWysłany: Pią 13:47, 11 Mar 2011  

10 cases of thoracic spinal stenosis surgery


Action. 2 Results l0 cases of surgical time was 90-184min,[link widoczny dla zalogowanych], the average 120min,[link widoczny dla zalogowanych], after 4 months to 4 years follow-up,[link widoczny dla zalogowanych], an average of l9 months,[link widoczny dla zalogowanych], this group of patients with varying degrees of neurological recovery,[link widoczny dla zalogowanych], according to JOA assessment criteria: excellent (improvement rate> ; 75%) 3; good (improvement rate of 50% ~ 74%) 4; improvement (improvement rate of 25% ~ 49%) 2; invalid (to improve the rate of <25%) 11 bad IJ. 3 to discuss the group of cases of multiple segments of the vast majority of thoracic spinal stenosis, lesions of the functions involved in many segments, symptoms and the main pathological changes in the intervertebral connective tissue, causing severe spinal canal stenosis and spinal cord injury J, the involvement segment features are caused by compression of the spinal cord, and generate the appropriate signs and symptoms. These injuries often overlap, so the onset to more serious patients, and rapid development, mainly for the purpose of increasing signs of damage to the spinal cord to vertebral beam the most prominent symptoms. There is no effective non-surgical therapy, so surgical decompression of spinal cord function is to remove the oppression of the only effective recovery methods. All posterior decompression laminectomy is the preferred method, to ensure patient safety is best to choose local anesthesia because the anesthesia can be readily observed in patients with limb reaction; multiple segments, especially those who were jumping distribution operation should be graded to prevent the time Dr longer fatigue, and ignore neuroprotection; surgery laminectomy rongeur use thin lips, sucking suction should be careful not to touch dura. This surgery fine, doctors have the patience not to be agitated, spinal cord compression due to thoracic stenosis re-cushion is small, from both sides of the care when entering decompression, after thinning to remove layer by layer, from both sides to the central, central bone adhesion not easy to erase the block, could make the surrounding tissue free floating. After spinal stenosis, epidural fat and venous congestion disappeared, and some cases of bleeding after laminectomy in the open bite will be very serious, so be prepared to adequate preoperative blood. Long segment stenosis often thickening of the dura mater, dural decompression pulse is not obvious. Thoracic activity and there is a small thorax protection, decompression surgery for spinal stability is not too great, no fixed after (the switch 185) Gordon:} l falling inventory lamb turtle once spread hope -! To - fall - Figure I prince Yu 3Fig. Ispinal (. R _ secondary legislation under Frederick II pain variable fan juvenile T. .4. N film l sheep crowding Figure 2 ... fJ1】 』a vain k = 1 f-like Kai tube snail as provided in paragraph 1 ¨ times. Spinal cord compression Wa State auxiliary state secret operation l Dan disease [71'-l_1lJm · 『¨ Jiglllhu.inl-II 'II ... IspinaldurarI Ⅵ 1rHg_2 ...} IIPl】 ~ ngittalMHI 【. allsh. ~ edp ... 1] l】 nIHlT ... 1lvIFig.3I' h ... , lIlltxl ± · I'm surrounded the tumor resection. complete removal of the entire swollen Chi. should not directly bite than the tumor. so as not to increase mushroom nerve damage has been reported using bone knife and a gun-type lamina clamp removal In addition to wear t} 7J Zhan change organizations, it can accurately and effectively protect the spinal cord and other important structures, it is recommended to promote ..


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