严重脊髓型颈椎病手术减压的安全术式分析  

Safety Analysis of Surgical Decompression for Severe Cervical Spondylotic Myelopathy

作　　者：张学龙 

机构地区：[1]内蒙古自治区赤峰市巴林右旗医院骨科,内蒙古赤峰025150

出　　处：《中国继续医学教育》2017年第20期83-84,共2页China Continuing Medical Education

摘　　要：目的探讨严重脊髓型颈椎病手术减压的安全术式。方法选取2008年9月—2015年9月来我院治疗严重脊髓型颈椎病的患者36例,并按照随机原则将患者分为实验组与对照组。对照组患者行颈前路手术,实验组患者行后前路联合手术。所有患者均得到1年随访,对两组JOA评分改善率进行比较分析。结果两组患者在术后3 d内,JOA评分差异无统计学意义,但随访1年发现实验组患者JOA评分改善著高于对照组患者,P<0.05,差异有统计学意义。结论后路固定治疗患者,神经功能改善率较高,且手术安全性较高,是治疗的首选方式。Objective To investigate the safety of surgical decompression for severe cervical spondylotic myelopathy.Methods From September 2008 to September 2015,36 cases of severe cervical spondylotic myelopathy in our hospital were selected,they were divided into experimental group and control group according to the principle of randomization.the control group underwent anterior cervical surgery,the experimental group underwent posterior anterior approach combined surgery.All patients were followed up for 1 year,improvement rate of JOA score in two groups was analyzed.Results There was no significant difference in JOA score between the two groups in the postoperative 3 d,but after 1 year of follow-up,the improvement of JOA score in the experimental group was higher than that in the control group,P〈0.05,the difference was statistically significant.Conclusion The patients with posterior approach fixation have higher nerve function improvement,and the operation safety is higher,so it is the first choice for treatment.

关 键 词：严重脊髓型颈椎病 手术减压 安全术式 

分 类 号：R744[医药卫生—神经病学与精神病学]