颈前路显微镜下手术治疗脊髓型颈椎病64例  

Anterior Cervical Decompression under Microscope for Cervical Spondylotic Myelopathy:64 Case Report

作　　者：张山[1] 祁红辉[2] 刘吉祥[1] 任洪波[1] 

机构地区：[1]河北省邯郸市中心医院神经外科,河北邯郸市056002 [2]河北省邯郸市第一医院急诊科,河北邯郸市056002

出　　处：《中国康复理论与实践》2009年第5期470-471,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：河北省邯郸市科学技术研究与发展计划项目(072317063)

摘　　要：目的观察颈前路显微镜下减压及椎间植骨融合颈前路钛钢板内固定术治疗脊髓型颈椎病的疗效。方法对64例患者采用前路显微镜下手术减压及椎间植骨融合颈前路钛钢板内固定术,术前和术后分别进行日本整形外科学会(JOA)评分标准评价,术前及术后6个月进行影像学评价,并观察临床疗效。结果JOA评分由术前(9.1±2.4)分上升至术后(13.5±3.1)分,影像学及临床评价均有改善。结论颈前路显微镜下手术减压治疗脊髓型颈椎病效果肯定。Objective To investigate the effects of anterior cervical decompression and implanting bone fusion with plate internal fixation under microscope on cervical spondylotic myelopathy. Methods 64 patients were performed anterior cervical decompression and implanting bone fusion with plate internal fixation under microscope. They were assessed with the assessment of Japanese Orthopedic Association （JOA）, imageologic and clinical finding 6 months after operation. Results The score of JOA improved from （9. 1 ±2.4） pre-operation to （13.5±3.1） post-operation. Imageologic and clinical features showed satisfactory outcome. Conclusion Most patients with cervical spondylotic myelopathy can achieve satisfied prognosis by decompression through anterior approach; microsurgery.

关 键 词：脊髓型颈椎病 减压术 显微手术 

分 类 号：R681.5[医药卫生—骨科学]