C_(3)~C_(6)单开门椎管减压成形术在无骨折脱位型颈髓损伤患者中的应用效果  

Effect of C_(3)-C_(6) Single-Open-Door Vertebral Decompression Angioplasty on the Rehabilitation Effect of Patients with Cervical Spinal Cord Injury without Radiographic Abnormality

作　　者：付国书 FU Guoshu(Department of Spinal Surgery,Sinan County People's Hospital of Tongren city,Tongren Guizhou,565100,China)

机构地区：[1]思南县人民医院脊柱外科,贵州铜仁565100

出　　处：《反射疗法与康复医学》2024年第7期153-156,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨C_(3)~C_(6)单开门椎管减压成形术在无骨折脱位型颈髓损伤患者中的应用效果。方法回顾性分析2022年6月—2023年6月我院收治的90例无骨折脱位型颈髓损伤患者为研究对象,根据手术方式不同将其分为观察组(n=48)与对照组(n=42)。对照组行全椎板切除减压术治疗,观察组行C_(3)~C_(6)单开门椎管减压成形术治疗。比较两组手术相关指标、视觉模拟评分(VAS)、日本骨科协会(JOA)评分、美国脊髓损伤协会(ASIA)损伤分级。结果两组手术时间、术中出血量比较,组间差异无统计学意义(P>0.05);观察组住院时间短于对照组,差异有统计学意义(P<0.05)。治疗后,两组VAS评分、JOA评分均较治疗前改善,且观察组VAS评分低于对照组,差异有统计学意义(P<0.05);观察组JOA评分高于对照组,但差异无统计学意义(P>0.05)。治疗后,观察组ASIA分级情况优于对照组,差异有统计学意义(P<0.05)。结论单开门椎管减压成形术应用于无骨折脱位型颈髓损伤具有较好疗效,能够改善患者的术后疼痛水平与脊髓损伤情况,并缩短住院时间。Objective To explore the effect of C_(3)-C_(6)single-opening-door vertebral decompression angioplasty in patients with cervical spinal cord injury without radiogra phic abnormality.Methods Ninety cases of cervical spinal cord injury without radiographic abnormality patients admitted between June 2022 and June 2023 were retrospectively analysed and divided into observation group(n=48)and control group(n=42)according to surgical methods.The control group was treated with total laminectomy decompression,and the observation group was treated with C_(3)-C_(6)single open door spinal canal decompression and arthroplasty.Surgery-related indexes,Visual Analogue Scale(VAS),Japanese Orthopaedic Associationscores(JOA)score,American Spinal Cord Injury Association(ASIA)score,and American Spinal Cord Injury Association(ASIA)score were compared between the two groups.Results There was no statistically significant difference in surgical time and intraoperative bleeding between the two groups(P>0.05);the hospitalization time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the VAS score and JOA score of both groups improved compared to before treatment,and the VAS score of the observation group was lower than that of the control group,the difference was statistical significance(P<0.05);the JOA score of the observation group was higher than that of the control group,but the difference was not statistically significant(P>0.05).After treatment,the ASIA grading of the observation group was better than that of the control group,with the difference was statistically significant(P<0.05).Conclusion The application of single door laminoplasty for cervical spinal cord injury without fracture or dislocation has good therapeutic effects,which can improve the postoperative pain level and spinal cord injury situation of patients,and shorten hospitalization time.

关 键 词：无骨折脱位型颈髓损伤 单开门椎管减压成形术 全椎板切除减压术 疼痛水平 脊髓损伤程度 

分 类 号：R684[医药卫生—骨科学]