摘要
目的 探讨前路手术治疗颈椎管狭窄症的疗效及方法.方法 回顾性分析2007年3月至2010年3月采用前路手术治疗的颈椎管狭窄症162例,统计手术时间、术中出血量、术后住院时间,观察术后植骨融合情况,在颈椎标准侧位X线片上测量Cobb角变化,在颈椎MRI中矢位上测量纤维性椎管矢状径变化,以JOA评分法评价神经功能改善情况.结果 术后随访9～18个月,平均12.8个月,平均手术时间86.4 min,平均术中出血量80.2ml,平均术后住院5.3d,术后3个月所有病例均达到骨性融合,椎管矢状径较术前平均增加4.23 mm,颈椎前凸Cobb角平均增加7.2°,神经功能JOA评分平均升高6.1分.结论 颈椎管狭窄症压迫大多来自前方,前路手术能够直接减压,手术时间短、术中出血量少、病人恢复快,能够有效恢复颈椎生理曲度和椎管容积,疗效满意.
Objective To evaluate the therapeutic efficacies and surgical procedures of anterior approach for cervical spinal canal stenosis.Methods A total of 162 cases of cervical spinal canal stenosis underwent anterior surgical procedure from March 2007 to March 2010.The operative duration,the volume of blood loss and the days of postoperative hospital stay were recorded and analyzed.The Cobb angle and canal sagittal diameter were measured. The bone graft fusion and nerve functions were evaluated postoperatively.Results The average operative duration was 86.4 minutes with an intraopertive blood loss of 80.2 ml and a postoperative hospital stay of5.3 days.A follow-up visit of 9 - 18 months （average：12.8）showed that bone graft fusion was achieved in all cases and Cobb angle increased by an average of 7.2 degree.The spinal canal sagittal diameter increased by 4.23 mm.And the JOA （Japanese Orthopedic Association） score increased by an average of 6.1 points at 3 Month post-operation. Conclusion For cervical spinal canal stenosis,the pressure comes mostly from the front part.The anterior surgical procedure can decompress directly with a shorter operative duration,a smaller volume of blood loss,a shorter hospitalization stay and an effective recovery of cervical curvature and canal volume.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2012年第5期296-298,共3页
National Medical Journal of China
关键词
椎管狭窄
颈椎
外科手术
前路手术
Spinal stenosis
Cervical vertebrea
Surgical procedures operative
Anterior approach
