完全显微镜下颈椎后路椎管减压手术的临床研究  

Clinical Study of Posterior Cervical Spinal Canal Decompression under Complete Microscope

作　　者：林云东[1] 张嘉[1] 陈永红[1] 文建平[1] 王云[1] 谭海清[1] 刘小龙 LIN Yun-Dong;ZHANG Jia;CHEN Yong-Hong;WEN Jian-Ping;WANG Yun;TAN Hai-Qing;LIU Xiao-Long(Head and spine surger, Chenzhou Third People ＇s Hospital group, Chenzhou, Hu ＇nan, Chin)

机构地区：[1]郴州市第三人民医院集团颅脑脊柱外科

出　　处：《世界最新医学信息文摘》2018年第3期50-51,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨完全显微镜下颈椎后路椎管减压手术的临床疗效分析。方法选取2014年1月至2017年1月在本院因"颈椎管狭窄"住院的48例患者为研究对象。患者入院后,全部采用完全显微镜下颈椎后路椎管减压、椎板切除、植骨融合侧块钉棒系统内固定手术,经过治疗,对比全部患者术后和术前的神经功能改善情况,比较手术前、手术后JOA评分、Forankel分级、出血量分析、手术疗效计算资料采用t检验P<0.05为差异有统计学意义。结果与手术前相比,48例患者中总改善率达98%,JOA评分显著提高,Forankel评分提高明显。结论完全显微镜下颈椎后路椎管减压手术治疗颈椎管狭窄症手术疗效显著。Objective To investigate the clinical effect of posterior cervical spinal canal decompression under complete microscope. Methods from January 2014 to January 2017, 48 patients hospitalized with ＂cervical spinal stenosis＂ were studied in our hospital.After admission, all patients were treated with complete microscopically posterior cervical decompression, laminectomy, bone graft fusion and lateral block screw rod system internal fixation.The improvement of neurological function in all patients was compared before and after operation. The JOA score, Forankel grading and bleeding volume before and after operation were compared. The data of operation efficacy were calculated by t test and P〈0.05 was statistically significant. Results Compared with pre operation, the total improvement rate of the 48 patients was 98%, the JOA score was significantly improved, and the Forankel score was improved significantly. Conclusion The operative treatment of cervical spinal canal stenosis by posterior cervical spinal canal decompression under complete microscope is effective.

关 键 词：颈椎椎管狭窄症 显微镜 颈椎后路减压 植骨融合 钉棒内固定术 

分 类 号：R687.3[医药卫生—骨科学]