颈椎管扩大术疗效探讨  

Effect of Cervical Spinal Tube Expansion Technique

作　　者：张长明[1] 

机构地区：[1]浙江省人民医院骨科

出　　处：《颈腰痛杂志》1995年第1期17-19,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：本文报告５６例颈椎管扩大术，单开门颈椎管扩大术５０例，双开门颈椎管扩大术６例。治疗多发性椎间隙颈椎病１９例、后纵韧带骨化症（简称ＯＰＬＬ）１８例，ＯＰＬＬ合并颈椎外伤３例．颈椎管狭窄合并ＯＰＬＬ２例，发育性颈椎管狭窄症１４例。术后一个月和一年分别评估疗效，均明显优于以往的椎板减压术。Here are 56 cases treated by two kinds of cervical spinal tube expansion method,referred as uni-lateral methed(in 50 cases)and bilateral method in 6 cases);The total example include: multi-focalcervical intervertebral spacc disease(19 cases), ossification of posterior longitudinal ligament (OPLL)(16 cases), OPLL complicated with cervical trauma(3 cases),cervical spinal tube narrrowing compli-catetJ with OPLL( 2 cases),developmental cervical spinal tubc narrrowing(14 cases).Evaluated at lmonth and l year seperately results with this technique are more favorable,compaved with laminecto-my for decompression.Effect is determined by spinal pathological change itself,while age course ofillniss,choice of anestnesia method can also influence in certain degree. The reasons why l year prog-nosis is worse than l month prognosis remain unkown.

关 键 词：颈椎管狭窄症 颈椎管扩大术 颈椎病 

分 类 号：R681.550.5[医药卫生—骨科学] R687.3[医药卫生—外科学]