广泛椎板减压术治疗脊髓型颈椎病  

T Treatment of Spondylotic Myelopathy by Ex-tensive Laminectomy

作　　者：陈道莅[1] 蔡宝贤 季志雄 施士德[1] 丁一[1] 朱晓江[1] 

机构地区：[1]上海市第一人民医院神经外科

出　　处：《中华骨科杂志》1994年第9期526-529,共4页Chinese Journal of Orthopaedics

摘　　要：１９７４～１９９０年以广泛椎板减压术治疗脊髓型颈椎病１２７例，１０３例获得随访。平均随访期７．３年。术后优良率８７．４％，有效率９６．１％。作者认为，对于多数患者，手术方式可根据手术者的习惯和经验决定。但由于许多患者合并有发育性椎管狭窄和后纵韧带骨化，这两类患者应采取后路手术治疗，文献中已有一致意见；因而总的说来，后路手术的适应范围当比前路手术更为广泛。AbstractFrom 1974 to 1990,127 patients with cervical spondylotic myelopathy were treated by extensive laminectomy. Among them, 103 patients had fol-low-up for periods varying from 1 to 16 years,with an average of 7. 3 years. Extensive laminecto-my offered effective decompression of the spinal cord and maintained the stability of the cervical spine. The rate of excellent and good results were 87.4%,and total rate of improvement was 96.1%, In most cases, bOth posterior and anteri-or approach could get good results when the surgi-cal procedure is adequate,The approach could be selected according to the surgeon’s experience and preference. A great number of patients with spondylotic myelopathy were associated with de-velopmental stenosis of the spinal canal or ossifica-tion of the longitudinal ligament.For theses cases,posterior approach is the first choice.

关 键 词：椎板减压术 脊髓型 颈椎病 

分 类 号：R687.3[医药卫生—骨科学]