前路与后路减压手术治疗多节段连续性脊髓型颈椎病的效果对比分析  

Comparative analysis of anterior and posterior decompression in the treatment of multilevel continuous cervical spondylotic myelopathy

作　　者：周永强[1] Zhou Yongqiang(The First People's Hospital of Neijiang City, Neijiang Sichuan 641000, China)

机构地区：[1]四川省内江市第一人民医院,四川内江641000

出　　处：《医药前沿》2019年第4期32-33,共2页Journal of Frontiers of Medicine

摘　　要：目的:讨论前路与后路减压手术治疗多节段连续性脊髓型颈椎病的临床效果.方法:选择对象为2015年7月-2017年10月就诊于我院的42例多节段连续性脊髓型颈椎病患者.随机分为实验组和对照组,每组各21例患者,对照组实施后路减压术,实验组实施前路减压手术.结果:实验组患者的手术效果显著优于对照组,差异有统计学意义(P<0.05).结论:在多节段连续性脊髓型颈椎病的治疗中,可以选择前路和后路减压手术,两种手术效果均良好,但是在患者情况允许的情况下,可优先选择前路减压术,其效果更加理想.Objective To discuss the clinical effect of anterior and posterior decompression for multilevel continuous cervical Spondylotic myelopathy.Methods 42 patients with multilevel continuous cervical Spondylotic myelopathy from July 2016 to October 2017 were selected.According to the method of drawing lots,each group was divided into experimental group and control group with 21 patients in each group.The control group was treated with anterior decompression and the experimental group with posterior decompression.Results The operation effect of the experimental group was better than that of the control group(P<0.05].Conclusion In the treatment of multilevel continuous cervical Spondylotic myelopathy,anterior and posterior decompression can be selected.Both operations have good results,but anterior decompression is preferred when the patient's condition permits,and the effect is more satisfactory.

关 键 词：前路减压 后路减压 多节段连续性脊髓型颈椎病 

分 类 号：R687[医药卫生—骨科学]