微型钛板改良单开门颈椎管成形术的临床疗效  

Miniature Titanium Modified Open Door to Expand the Clinical Efficacy of Cervical Laminoplasty

作　　者：王玉州[1] 朱刚[1] 张立贵[1] 李伟[1] 

机构地区：[1]郑州大学第五附属医院骨科,河南郑州470000

出　　处：《医学与哲学（B）》2016年第8期41-43,共3页Medicine & Philosophy(B)

摘　　要：多节段脊髓型颈椎病（MCSM）在老年人群中发病率较高,患者发病后如果得不到及时有效的治疗,将会对脊髓产生压迫、损伤,造成颈椎剧烈疼痛,影响患者生活质量。本文主要研究微型钛板改良单开门颈椎管扩大椎板成形术在MCSM患者中的临床治疗效果,为临床提供依据。选取笔者所在医院自2012年3月~2014年3月医院诊治的MCSM患者52例,入选患者均采用微型台班改良单门颈椎管扩大椎板成型术治疗。术后患者的JOA评分,显著高于术前（P〈0.05）;术后C5节段椎管矢状径,显著大于术前（P〈0.05）;治疗后AS评分优40例占比76.92%,良4例占比7.70%,可5例占比9.62%,差3例占比5.76%,优良率为84.62%（P〈0.05）;术后脊髓矢状径,显著高于术前（P〈0.05）。MCSM患者采用改良后的单开门颈椎管扩大椎板成形术治疗效果理想,能改善患者椎管形态,预防二次关门。同时,患者采用该方法治疗能降低并发症发生率,更加有利于术后恢复,并且对仪器、设备等要求相对较低,适合基础医院推广应用。Multilevel cervical myelopathy in the elderly have a higher prevalence, after onset if not timely and effective treatment, will have oppression, damage to the spinal cord, causing severe pain in the cervical spine, affecting the quality of life of patients. This paper studies micro titanium modified open door laminoplasty of cervical canal expansion in the clinical treatment of multiple segments cervical myelopathy （MCSM） patients, and provide evidence for clinical practice. In our hospital from March 2012-multilevel cervical myelopathy patients in March 2014 the hospital for treatment of 52 cases, patients were enrolled in a tiny single-door station classes improved cervical laminectomy expand angioplasty treatment. The postoperative JOA score was significantly higher than preoperative （P〈0. 05）; postoperative C5 segmental sagittal diameter of the cone, significantly higher than preoperative （P〈0. 05）3 after treatment, 40 cases accounted AS score excellent 76.92%, good in 4 cases accounted for 7.70%, accounting for 9.62% in 5 cases, poor in 3 cases accounted for 5.76%, excellent rate was 84.62% （P〈0.05）3 postoperative sagittal diameter of the spinal cord, significantly higher than the preoperative （P〈0.05）. MCSM patients with open-door cervical improved over the canal expansion Laminoplasty therapeutic effect, can improve the morphology of the spinal canal in patients with secondary prevention closed. At the same time, patients using this method of treatment can reduce the incidence of complications, more conducive to postoperative recovery, and the instrument and equipment requirements are relatively low, the basis for hospital application.

关 键 词：多节段脊髓型颈椎病 微型钛板 单开门颈椎管扩大椎板成形术 

分 类 号：R681.5[医药卫生—骨科学]