单开门椎板成形椎管扩大术治疗颈椎椎管狭窄的临床效果  

Clinical effect of single door laminoplasty spinal canal enlargement surgery in patients with spinal stenosis

作　　者：陈斌[1] 史世勤 陈向波 胡海涛 李王丽[1] 

机构地区：[1]陕西省榆林市第二医院,陕西榆林719000

出　　处：《临床医学研究与实践》2017年第31期58-59,共2页Clinical Research and Practice

摘　　要：目的探讨颈椎椎管狭窄患者采用单开门椎板成形椎管扩大术治疗的临床效果。方法选取我院收治的颈椎椎管狭窄患者98例为研究对象,分为观察组和对照组,各49例。对照组患者采用全椎板切除联合侧块内固定术治疗,观察组患者采用单开门椎板成形椎管扩大术治疗。比较两组患者的功能恢复情况、生活质量情况及并发症发生情况。结果术后,两组患者的Frankel、JOA及生活质量评分均优于术前,且观察组的Frankel、JOA及生活质量评分均高于对照组(P<0.05)。观察组的并发症总发生率为6.12%,略低于对照组的18.37%(P>0.05)。结论单开门椎板成形椎管扩大术治疗颈椎椎管狭窄患者临床效果显著,颈椎功能恢复好,生活质量明显提高,值得临床应用及推广。Objective To study the clinical therapeutic effect of single door laminoplasty spinal canal enlargement surgery in patients with spinal stenosis. Methods A total of 98 patients with spinal stenosis in our hospital were divided into observation group and contral group, with 49 cases in each group. The control group was treated with total laminectomy and lateral block fixation, and the observation group was treated with single door laminoplasty spinal canal enlargement surgery.The function recovery, quality of life and complications were compared between the two groups. Results After operation, the Frankel, JOA and quality of life scores of the two groups were better than those before operation, and those of the observation group were better than the control group（P〈0.05）. The total incidence of complications of the observation group was 6.12%,which was slightly lower than 18.37% of the control group（P〈0.05）. Conclusion Single door laminoplasty spinal canal enlargement surgery has significant effect in patients with spinal stenosis. It has good cervical vertebra function recovery, signif-icant life quality improvement, which is worthy of clinical application and promotion.

关 键 词：劲椎椎管狭窄 单开门椎板成形 椎管扩大术 

分 类 号：R687.3[医药卫生—骨科学]