改良颈后路单开门椎管扩大成形术治疗多节段颈椎管狭窄症  

The modified cervical posterior single open-door expansive laminoplasty for treatment of multi-segmental cervical spine stenosis disease

作　　者：韩思林[1] 王存平[1] 朱喆[1] 王洪波[1] 贺亮[1] HAN Si-lin, WANG Cun-pin, ZHU Zhe, WANG Hong-bo, HE Liang(Dept of Orthopaedics,Zaozhuang Municipal Hospital, Zaozhuang, Shandong 2 77101, China)

机构地区：[1]枣庄市立医院骨科,山东枣庄277101

出　　处：《临床骨科杂志》2018年第4期399-401,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨改良颈后路单开门椎管扩大成形术治疗多节段颈椎管狭窄症患者的临床效果。方法采用改良颈后路单开门椎管扩大成形术治疗68例多节段颈椎管狭窄症患者。比较患者手术前后JOA评分及颈椎轴性症状严重程度。结果患者均获得随访,时间3～12个月。JOA评分:术前为3～14(9.0±2.9)分,术后为5～17(12.5±3.1)分,差异有统计学意义(P<0.01),改善率为20%～100%(44.9%±26.9%)。有颈椎轴性症状的患者术前占47.06%,术后占19.12%,差异有统计学意义(P<0.05)。结论改良颈后路单开门椎管扩大成形术治疗多节段颈椎管狭窄症是一种简便、安全的方法,早期疗效满意。Objective To investigate the clinical effect of modified cervical posterior single open-door expansive laminoplasty in the treatment of multi-segmental cervical spine stenosis disease. Methods The 68 patients with multi-segmental cervical spine stenosis disease were treated with modified posterior single open-door operation. The preoperative and postoperative JOA scores and the severity degree of cervical spine symptoms were compared. Results All patients were followed up for 3 ～ 12 months. The preoperative and postoperative JOA scores were 3 ～ 14（ 9. 0 ±2. 9） and 5 ～ 17（ 12. 5 ± 3. 1）,respectively,there was statistical significance（ P 0. 01）,the improvement rate was 20% ～ 100%（ 44. 9% ± 26. 9%）. Before and after surgery,there were significant symptoms of cervical spine axial symptoms,which were 47. 06% preoperatively and 19. 12% postoperatively. The difference was statistically significant（ P 0. 05）. Conclusions The modified cervical posterior single open-door expansive laminoplasty is simple and safe method to treat multi-segmental cervical stenosis,and the early curative effect is satisfactory.

关 键 词：颈后路单开门 颈椎管狭窄症 椎管扩大成形术 

分 类 号：R681.5[医药卫生—骨科学] R687.3[医药卫生—外科学]