摘要
目的：评价粘克R可吸收医用膜预防椎板切除术后硬膜外粘连的临床效果。方法选取2012年6月至2013年12月行椎板切除术的腰椎间盘突出患者125例，其中男性89例，女性36例；年龄22～62岁。分为试验组68例，在术中放置粘克R可吸收医用膜；对照组57例，除不放置医用膜外，其他处置相同。术后3个月随访观察手术效果，按Nakai法评价。结果试验组疗效优良率为94.12%，对照组为80.70%；两组比较，差异有统计学意义（P〈0.05）。无全身不良反应，无红肿、渗液及窦道形成等炎症表现，无脑脊液漏、神经损伤等手术并发症。结论粘克R可吸收医用膜可有效减少椎板切除术后硬膜外粘连。
Objective To evaluate the clinic effect of Nocling R resorbable medical film for preventing epidural adhesion after laminectomy. Methods A total of 125 laminectomy patients with lumbar disc herniation from June 2012 to December 2013 were enrolled, which included 89 males and 36 females, aged 22-68 years old. All of them were divided into experimental group （n=68, with Nocling R resorbable medical film） and control group（n=57, placement without Nocling R resorbable medical film）. The clinic effect in 2 groups after treatment for 3-month was evaluated by Nakai method. Results The curative effect in experimental group was 94.12%, and that in control group was 80.70%. There was statistical significant difference between 2 groups （P〈0.05）. All of them were no systemic adverse reactions, swelling exudates and sinus formation, and complications as leakage of cerebrospinal fluid and nerve damage. Conclusion It is demonstrated that Nocling R resorbable medical film could effectively reduce epidural adhesion after laminectomy.
出处
《生物医学工程与临床》
CAS
2015年第4期382-384,共3页
Biomedical Engineering and Clinical Medicine
关键词
可吸收医用膜
硬膜粘连
术后预防
resorbable medical film
epidural adhesion
postoperative prevention
