Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (48): 7185-7191.doi: 10.3969/j.issn.2095-4344.2016.48.006
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A Jian-cuo, Wang Xi-min, Li Zhan-yin, Xu Zhi-hua
Revised:
2016-09-10
Online:
2016-11-25
Published:
2016-11-25
About author:
A Jian-cuo, Associate chief physician, Qinghai Red Cross Hospital, Xining 810000, Qinghai Province, China
CLC Number:
A Jian-cuo, Wang Xi-min, Li Zhan-yin, Xu Zhi-hua. Biocompatibility of anatomic porous titanium fusion cage[J]. Chinese Journal of Tissue Engineering Research, 2016, 20(48): 7185-7191.
2.1 参与者数量分析 按意向性处理,50例腰椎退变性疾病患者全部进入结果分析,无脱落。 2.2 随机分组流程图 见图3。 2.3 基线资料比较 两组基线资料比较差异无显著性意义(P > 0.05),组间具有可比性,见表1。 2.4 融合率比较 随访6-29个月,试验组23例获得融合,融合率为92.0%,显著高于对照组17例节段获得融合,融合率为68.0%,试验组融合率高于对照组,差异有显著性意义(P < 0.05)。 2.5 两组椎间隙高度比和椎间孔高度比的比较 治疗前,两组椎间隙高度比和椎间孔高度比比较差异无显著性意义(P > 0.05);试验组治疗后3,6个月的椎间隙高度比和椎间孔高度比显著高于对照组,差异有显著性意义(P < 0.05),见表2。"
2.6 两组椎体间角度活动域的比较 治疗前,两组L3/4、L5及L5/S1椎体间角度活动域比较差异无显著性意义 (P > 0.05);试验组治疗后3,6个月的L3/4、L5及L5/S1椎体间角度活动域显著大于对照组,差异有显著性意义(P < 0.05),见表3。 2.7 两组融合节段前凸角、腰椎前凸角、腰椎水平角及骶骨水平角的比较 治疗前,两组融合阶段前凸角、腰椎前凸角、腰椎水平角及骶骨水平角比较差异无显著性意义(P > 0.05);试验组治疗后3,6个月的融合节段前凸角、腰椎前凸角、腰椎水平角及骶骨水平角显著大于对照组(P < 0.05),见表4。 2.8 两组融合器生物相容性比较 试验组解剖型表面微孔钛合金椎间融合器生物相容性良好,术后患者能进行正常的功能锻炼,并未出现等排斥不良反应;对照组3例出现感染、慢性脑脊液漏等后遗症,发生率为12.0%。 2.9 典型病例 40岁女性患者术前行MRI检查显示L5/S1间盘突出,中央偏左,行解剖型表面微孔钛合金椎间融合器置入治疗,治疗后效果理想,见图4。 "
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