3种入路术治疗过伸性颈椎颈髓损伤的疗效比较  

The Comparison of Curative Effect of Three Approach Operrative Treatment for Cervical Hyperextension Injuries

作　　者：曾琦芳[1] 

机构地区：[1]岳阳市第二人民医院脊柱外科,湖南岳阳414000

出　　处：《中国医药指南》2011年第13期193-194,共2页Guide of China Medicine

摘　　要：目的探讨分析3种入路术治疗过伸性颈椎颈髓损伤的疗效。方法回顾性分析2006年6月至2009年6月来岳阳市第二人民医院就诊并接受手术的90例过伸性颈椎颈髓损伤患者,按照手术方式的不同分成:前路入路、后路入路、前后联合入路3组,通过比较分析3组术前、术后ASIA分值的变化,来对比3种手术的疗效。结果 3组术后的神经功能均有明显改善,前路入路与前后联合入路减压、植骨内固定神经功能恢复均较后路入路疗效好,差异均具有统计学意义(P<0.05),前路入路与前后联合入路间的疗效差异无显著性统计学意义(P>0.05)。结论前路入路、前后联合入路的手术方式治疗过伸性颈椎颈髓损伤的疗效均较后路入路手术治疗的疗效好,前路入路手术是治疗过伸性颈椎颈髓损伤的首选手术方式。Objective To evaluate and analysis curativeeffect of three approach operrative treatment for cervical hyperextension injuries.Methods Retrospective analysis 90 cases of hyperextension injury of cervical spine that were treated in the second people＇s hospital of yueyang from June 2006 to June 2009,depending on the different operrative way.They were divided into anterior approach group,posterior approach group and combined approach group.According comparing and analysising the preoperative ASIA score and postoperative ASIA score were to compare the curative effect of three operative methods.Results The three groups neural function had improved obviously,but the curative effects of anterior approach,combined approach surgery were better than posterior approach surgery,there were significant difference between the two groups（P0.05）,there was no significant difference between anterior approach,combined approach surgery（P0.05）.Conclusion The curative effects that anterior approach,combined approach surgery treat the cervical hyperextension injuries were better than posterior approach surgery,anterior approach operative method should be selected first to treat the cervical hyperextension injuries.

关 键 词：前路入路 后路入路 前后联合入路 过伸性颈椎颈髓损伤 

分 类 号：R681.5[医药卫生—骨科学]