氟骨症颈椎管狭窄症的手术治疗  

Surgical treatment of fluorosis cervical stenosis

作　　者：夏英鹏[1] 徐天同[1] 张黎龙[1] 杜文君[1] 田成瑞[1] 

机构地区：[1]天津市人民医院骨一科,300130

出　　处：《中国地方病学杂志》2005年第1期85-86,共2页Chinese Jouranl of Endemiology

摘　　要：目的探讨氟骨症所致的重度颈椎管狭窄症的临床特点和手术治疗的注意事项。方法依据饮水史,氟斑牙和前臂骨间膜钙化3项指标结合颈脊髓受压的症状,体征和MRI检查共确诊氟骨症颈椎管狭窄症病例49例,采用后入路全椎板切除减压术治疗,对患者的术前和术后神经功能状况采用日本骨科学会标准进行评分,并对两组数据作统计分析。结果患者术后神经功能明显改善,优良率达到85.7%,无严重并发症出现。结论氟骨症导致重度颈椎管狭窄,往往合并有广泛的后纵韧带与黄韧带的骨化,早期手术全椎板减压,必要时神经根通道扩大才能减少并发症,提高疗效。Objective To investigate clinical appearance, mechanism and treatment of fluorosis cervical stenosis. Methods From Mar 2000 to Mar 2003 ,49 cases who were confirmed by MRI and clinical appearance were performed posterior laminectomy and root release. The neurological function was evaluated and analyzed by JOA score. Results According to Hirabayashi standard and student's t test, patients'neurological function was considerably improved. The good and excellent rate of the outcome was 85.7%. Conclusions Early operation of laminectomy and root release is the most effective method to treat fluorosis cervical stenosis.

关 键 词：氟骨症 颈椎管狭窄症 治疗 外科手术 

分 类 号：R687[医药卫生—骨科学]