颈后路椎板减压术在脊髓型颈椎病后纵韧带骨化症中的疗效分析  

The Role of Posterior Cervical Decompression in the Treatment of Ossification of the Longitudinal Ligament in Cervical Spondylotic Myelopathy

作　　者：唐立 李敏杰 TANG Li;LI Min-jie(Department of Orthopedics,Dali County Maternal and Child Health Hospital,Weinan Shaanxi 715100,China;Department of Orthopedics,Shaanxi Fourth People's Hospital,Xi'an Shaanxi 710038,China)

机构地区：[1]大荔县妇幼保健院骨科,陕西渭南715100 [2]陕西省第四人民医院骨二科,陕西西安710038

出　　处：《中华养生保健》2024年第12期40-43,共4页CHINESE HEALTH CARE

摘　　要：目的探究颈后路锥板减压术在脊髓型颈椎病后纵韧带骨化症中的治疗效果。方法选择2020年4月—2022年10月于大荔县妇幼保健院接受治疗的96例脊髓型颈椎病后纵韧带骨化症患者作为研究对象,按照随机数表法将其分为研究组(n=48,接受颈后路锥板减压术)与对照组(n=48,接受传统颈椎后路单开门椎管成形术),比较两组患者切口长度、手术时间、透视时间、出血量等手术指标,比较两组患者术前、术后6个月时的JOA评分、Nurick分级、颈椎曲度、椎管占有率差异,统计两组患者术后6个月各类并发症发生率差异。结果研究组患者切口长度、手术时间、透视时间以及出血量均显著低于对照组,差异有统计学意义(P<0.05);术前两组患者JOA评分、Nurick分级、颈椎曲度和椎管占有率比较,差异无统计学意义(P>0.05),术后6个月时研究组患者JOA评分、颈椎曲度高于对照组,Nurick分级、椎管占有率低于对照组,差异有统计学意义(P<0.05),两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论对脊髓型颈椎病后纵韧带骨化症患者实施颈后路锥板减压术疗效显著,可以有效改善患者颈椎曲度和椎管占有率,相较传统颈椎后路单开门椎管成形术具有术中创伤小、术后康复快的优势,手术安全性较好。Objective To investigate the therapeutic effect of posterior cervical decompression surgery on ossification of the posterior longitudinal ligament in cervical spondylotic myelopathy.Methods A total of 96 patients with ossification of the posterior longitudinal ligament of cervical spondylotic myelopathy who underwent treatment in Dali County Maternal and Child Health Center from April 2020 to October 2022 were selected as the research subjects.They were randomly divided into the study group(n=48,who underwent posterior cervical decompression surgery)and the control group(n=48,who underwent traditional posterior cervical single door laminoplasty)using a random number table method.The surgical parameters such as incision length,operation time,fluoroscopy time and bleeding volume were compared between the two groups,Compare the differences in JOA scores,Nurick grading,cervical curvature,and spinal canal occupancy between the two groups of patients before and 6 months after surgery,and calculate the differences in the incidence of various complications between the two groups of patients at 6 months after surgery;Results The incision length,surgical time,fluoroscopy time,and bleeding volume in the study group were significantly lower than those in the control group(P<0.05);There was no statistically significant difference in JOA score,Nurick grade,cervical curvature,and spinal canal occupancy between the two groups of patients before surgery(P>0.05).At 6 months after surgery,the JOA score and cervical curvature of the study group were higher than those of the control group,while Nurick grade and spinal canal occupancy were lower than those of the control group(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(4.17%vs 14.58%)(P>0.05).Conclusion The implementation of posterior cervical cone plate decompression surgery for patients with ossification of the longitudinal ligament after cervical spondylotic myelopathy has a positive effect,which can effectivel

关 键 词：颈后路锥板减压术 脊髓型颈椎病 后纵韧带骨化症 颈椎曲度 椎管占有率 

分 类 号：R686.5[医药卫生—骨科学]