脊髓型颈椎病手术方法选择及临床疗效观察  

The cervical spondylosis myelopathy surgical operation methods choice and the clinical curative effect observation

作　　者：张英泽[1] 申勇[1] 王伟[1] 董玉昌[1] 张标[1] 

机构地区：[1]河北医科大学第三医院,石家庄市050051

出　　处：《河北医药》2005年第7期485-486,488,共3页Hebei Medical Journal

摘　　要：目的探讨颈椎病手术治疗方法选择及其疗效的关系。方法回顾性研究85例脊髓性颈椎病患者。颈椎前路减压植骨融合术18例;颈椎前路减压钛网植入内固定术37例;颈椎后路单开门椎管成形术14例;后路联合前路治疗重症颈椎病16例。采用JOA17分法评分,分析患者术后改善率。结果颈前路减压术后改善率83.8%;颈椎前路减压钛网植入内固定术后改善率89.9%;颈后路单开门椎管成形术改善率72.2%;后路联合前路治疗改善率76.7%。结论合理选择适应证及手术方法,可提高CSM临床改善率,减少并发症发生。Objective To investigate the cervical spondylosis surgical operation treatment method choice and the clinical effect.Metheds The data of 85 cervical spondylotic myelopathy sufferers were retrospectively analyzed.Anterior cervical fusion of bone 18 cases;anterior cervical fusion with titanium cage and internal fixation 37 cases;posterior open-door laminoplasty 14 cases;the anterior-posterior unites 16 cases.The improvement rates were evaluated respectively.Results The anterior cervical fusion of bone,the anterior cervical fusion of titanium cage and internal fixation,posterior of open-door laminoplasty,the improvement rates were 83.8%,89.9%,72.2% respectively.The anterior-posterior unites to cure the severe case of cervical spondylosis,improvement rate was 76.7%.Conclusion The reasonable choice operative indication and operative treatment is able to increase the clinical improvement rate and to reduce the occurrence of the complications.

关 键 词：脊髓型颈椎病 手术方法 疗效观察 治疗 手术适应证 

分 类 号：R681.55[医药卫生—骨科学]