手术治疗远端型肌萎缩型颈椎病10例疗效分析  

Surgical treatment of 10 cases of distal atrophic cervical spondylopathy

作　　者：张书豪[1] 王玉强[1] 赵耀[1] 于忠 张敏[1] 王利民[1] 刘屹林[1] Zhang Shuhao;Wang Yuqiang;Zhao Yao;Yu Zhong;Zhang Min;Wang Limin;Liu Yilin(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院骨科,郑州450052

出　　处：《中华实验外科杂志》2023年第6期1178-1180,共3页Chinese Journal of Experimental Surgery

摘　　要：目的:探讨肌萎缩型颈椎病的诊疗方案。方法:分析自2021年3月至2023年2月于郑州大学第一附属医院骨科就诊并被诊断为远端型肌萎缩型颈椎病(CSA)的患者10例。根据手术方式将患者分为两组:前路手术组,共5例;后路手术组,共5例。比较两组患者的基线资料、术后临床指标。手术前后采用徒手肌力试验方法(MMT)对患者肌力进行评估,组间对比采用独立样本t检验。结果:术后随访时10例患者肌力较术前有不同程度的改善,改善效果优1例,良5例,中4例,未出现术后肌力较术前下降情况,疗效满意率为60%(6/10)。前路组满意度为40%,后路组满意度为80%,前路组满意度小于后路组差异无统计学意义(P>0.05)。结论:远端型CSA术后肌萎缩恢复相对较差,患者满意度低,手术治疗应与患者充分沟通、慎重选择。Objective To explore the diagnosis and treatment plan of cervical spondylosis with muscular atrophy.Methods A retrospective analysis was conducted on 10 patients with distal amyotrophic cervical spondylosis(CSA)who visited the Department of Orthopedics at the First Affiliated Hospital of Zhengzhou University from March 2021 to February 2023.According to the surgical method,patients were divided into two groups:the anterior surgery group(5 cases);posterior surgical group(5 cases).The baseline data and postoperative clinical indicators were compared between two groups.Before and after surgery,the patient’s muscle strength was evaluated using the barehanded muscle strength test(MMT).The independent sample t-test was used for inter-group comparison.Results During postoperative follow-up,10 patients showed varying degrees of improvement in muscle strength compared to preoperation.The improvement effect was excellent in 1 case,good in 5 cases,and moderate in 4 cases.There was no decrease in muscle strength after surgery compared to preoperation,and the satisfaction rate of the treatment was 60%(6/10).The satisfaction rate of the anterior group was 40%,while the satisfaction rate of the posterior group was 80%.The difference in satisfaction rate between the anterior group and the posterior group was not statistically significant(P>0.05).Conclusion The recovery of muscle atrophy after distal type CSA surgery is relatively poor,and patient satisfaction is low.Surgical treatment should be fully communicated with the patients and carefully chosen.

关 键 词：肌萎缩 颈椎病 颈椎 

分 类 号：R687.3[医药卫生—骨科学]