颈后路单开门椎管扩大成形术治疗颈椎管狭窄症的疗效评价  

Outcomes of Posterior Unilateral Open-door Laminoplasty for Cervical Spinal Stenosis Disease

作　　者：马刚 孙川江 金龙 

机构地区：[1]攀钢总医院骨科,四川攀枝花617023

出　　处：《中国医药指南》2013年第19期412-414,共3页Guide of China Medicine

摘　　要：目的分析颈后路单开门椎管扩大成形术治疗颈椎管狭窄症的疗效。方法对我院2006年1月至2011年1月行后路单开门椎管扩大成形术治疗的32例颈椎管狭窄患者进行随访,平均随访2.4年。从手术时间、出血量、并发症的数量和类型以及手术前和手术后的JOA评分方面分析手术疗效。结果所有患者的JOA评分较术前均有不同程度的提高,JOA平均改善率:(55.8±22.3)%。平均手术出血量205 mL,手术时间75 min,轴性症状1例、椎板骨折1例、硬膜外血肿1例。结论颈椎后路单开门椎管扩大成形术操作相对安全、简单、治疗颈椎管狭窄症疗效确切。Objective To observe the results of posterior unilateral open-door laminoplasty for cervical spinal stenosis disease. Methods From January 2006 to January 2011, 32 cases with cervical spinal stenosis disease were treated by unilateral open-door laminoplasty followed-up for 1 years to 6 years. Bleeding volume, operation time, the numbers and types of complications, and preoperative along with postoperative JOA scores were analyzed. Results Postoperative JOA scores of all patients have been improved after operation. The JOA average improvement rate is （55.8±22.3）%. Bleeding volume is 205 mL, operation time is 75 min, postoperative axial sympotms 1 case, lamina fracture 1 case, epidural bematoma 1 case, respectively. Conclusion Posterior unilateral open-door laminoplasty is relative safety, simple, effective, the treatment for cervical spinal stenosis disease is definite.

关 键 词：颈椎管狭窄症 颈椎后路单开门椎管扩大成形术 JOA评分 并发症 

分 类 号：R681.53[医药卫生—骨科学]