后路椎管扩大减压微型钛板固定椎板成形术治疗颈椎病患者的效果  

Effect of Posterior Spinal Canal Expanded Decompression Mini Titanium Plate Fixation Laminoplasty in the Treatment of Patients with Cervical Spondylosis

作　　者：宋正鑫[1] 卫力晋[1] 刘岩[1] 吴立君[1] 毛英夫 杨传忠 SONG Zhengxin;WEI Lijin;LIU Yan;WU Lijun;MAO Yingfu;YANG Chuanzhong(General Hospital of Beijing Jingmei Group,Beijing 102300,China;不详)

机构地区：[1]北京京煤集团总医院,北京102300

出　　处：《中外医学研究》2022年第16期39-43,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析后路椎管扩大减压微型钛板固定椎板成形术治疗颈椎病患者的效果。方法:选取2017年1月-2019年12月北京京煤集团总医院骨科收治的60例颈椎病患者。按电脑数字表法随机将其分作对照组和观察组,各30例。观察组予以颈后路椎管扩大减压微型钛板固定椎板成形术,对照组予以传统颈椎后路单开门椎管扩大减压术。比较术后6个月、末次随访时两组轴性症状与开门角度。比较两组术前、术后6个月、末次随访时颈椎曲度、颈椎管矢状径、颈椎活动度、颈椎功能、神经功能。结果:术后6个月、末次随访时,观察组轴性症状评分高于对照组,开门角度大于对照组(P<0.05)。术后6个月、末次随访时,观察组颈椎曲度、颈椎管矢状径与颈椎活动度均高于对照组(P<0.05)。术后6个月、末次随访时,两组颈椎功能障碍指数(NDI)评分均明显降低,观察组NDI评分更低(P<0.05)。术后6个月、末次随访时,两组日本骨科协会评估治疗(JOA)评分均明显升高,且观察组JOA评分更高(P<0.05)。结论:与传统颈椎后路单开门椎管扩大减压术比较,后路椎管扩大减压微型钛板固定椎板成形术有助于改善颈椎病患者的轴性症状,稳定开门角度、颈椎曲度、颈椎管矢状径及颈椎活动度,并且促进颈椎功能及神经功能恢复。Objective:To analyze the effect of posterior spinal canal expanded decompression mini titanium plate fixation laminoplasty in the treatment of patients with cervical spondylosis.Method:A total of 60 patients with cervical spondylosis admitted to the Department of Orthopedics of General Hospital of Beijing Jingmei Group from January 2017 to December 2019 were selected.They were randomly divided into control group and observation group according to computer digital table method,with 30 cases in each group.The observation group was given the posterior spinal canal expanded decompression mini titanium plate fixation laminoplasty,and the control group was given the traditional cervical vertebra posterior single door spinal canal expansion decompression.The axial symptoms and door opening angle of the two groups were compared 6 months after operation and at the last follow-up.The cervical curvature,sagittal diameter of cervical spinal canal,cervical mobility,cervical function and nerve function were compared between the two groups before operation,6 months after operation and at the last follow-up.Result:Six months after operation and at the last follow-up,the axial symptom score of the observation group was higher than that of the control group,and the door opening angle was greater than that of the control group(P<0.05).Six months after operation and at the last follow-up,the cervical curvature,sagittal diameter of cervical spinal canal and cervical mobility in the observation group were higher than those in the control group(P<0.05).Six months after operation and at the last follow-up,the neck disability index(NDI)scores of the two groups decreased significantly,and the NDI score of the observation group was lower(P<0.05).Six months after operation and at the last follow-up,the Japanese orthopaedic association(JOA)score of the two groups increased significantly,and the JOA score of the observation group was higher(P<0.05).Conclusion:Compared with the traditional cervical vertebra posterior single door spinal canal e

关 键 词：颈椎病 后路椎管扩大减压微型钛板固定椎板成形术 颈椎功能 神经功能 

分 类 号：R687.3[医药卫生—骨科学]