颈椎后纵韧带骨化症的手术治疗并发症探讨  

Discussion on complications in surgical treatment of ossification of posterior longitudinal ligament of cervical vertebra

作　　者：杨中锋[1] 陈洪亮[1] 郑强[1] 

机构地区：[1]辽宁省沈阳市苏家屯区中心医院骨科,辽宁沈阳110101

出　　处：《临床和实验医学杂志》2014年第22期1875-1877,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨颈椎后纵韧带骨化症的三种手术方式的疗效以及并发症。方法选择确诊为颈椎后纵韧带骨化症并进行手术治疗的患者168例,随进分为A组(颈后路手术组)、B组(颈前路手术组)、C组(前后路联合手术组)进行临床研究。研究三组疗效以及并发症发生情况。结果 A组手术后颈椎神经功能评分及改善率显著高于B组和C组,差异有显著性(P<0.05)。A组患者的总体并发症为15.0%,显著低于B组(18.3%)和C组(45.0%),差异有显著性(P<0.05)。结论三种手术方式在治疗颈椎后纵韧带骨化症的过程中均不可避免出现一些并发症,但是其中以颈后路手术的临床疗效较好,并发症较少。Objective To explore the efficacy and complications of three methods for treatment of ossification of posterior longitudinal ligament of cervical vertebra. Methods A total of 168 patients with ossification of posterior longitudinal ligament of cervical vertebra received surgical treatment were divided into three groups in order to test and study their clinical efficacy and complications,they were Group A（ with posterior approach）,Group B（ with anterior approach） and Group C（ with combined anterior and posterior approaches）. Results The scores of patients in group A after surgery were significantly higher than those of patients in group B and group C（ P〈0. 05）. The overall incidence of complications in patients of group A was lower than that of groups B and C. There was a significant difference（ P〈0. 05）. Conclusion Complications are usually occurred in all these three types of surgery on ossification of posterior longitudinal ligament of cervical vertebra during the treatment of cervical spine disease,among them,surgery with posterior approach is the best in clinical curative effect with less complications.

关 键 词：颈椎后纵韧带骨化症 手术类型 疗效 并发症 

分 类 号：R687.3[医药卫生—骨科学]