中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2012年
4期
396-399
,共4页
吴洁石%包聚良%徐瑞生%陆华%王刊石%王雪松%薛骏
吳潔石%包聚良%徐瑞生%陸華%王刊石%王雪鬆%薛駿
오길석%포취량%서서생%륙화%왕간석%왕설송%설준
颈椎间盘突出症%后纵韧带%手术治疗
頸椎間盤突齣癥%後縱韌帶%手術治療
경추간반돌출증%후종인대%수술치료
Cervical disc herniation%Posterior longitudinal ligament%Surgical treatment
目的 探讨颈椎间盘突出症的临床病理特点、临床分型及手术要点.方法 回顾性分析1999年1月至2010年10月接受手术治疗的颈椎间盘突出症患者的临床资料.结果 颈椎间盘突出症128例,均经手术治疗.其中脊髓型96例,神经根型22例,混合型10例.脊髓型和混合型颈椎间盘突出症使用JOA评分,由术前(12.30±1.05)分至术后(16.70±1.11)分.神经根型颈椎间盘突出症使用VSA评分:由术前(8.10±1.37)分至术后(0.30±0.19)分.结论 认识其游离压迫物和硬膜囊、后纵韧带、神经结构之间的相互关系,正确选择手术方案和手术细节可以确保手术安全性和有效率.
目的 探討頸椎間盤突齣癥的臨床病理特點、臨床分型及手術要點.方法 迴顧性分析1999年1月至2010年10月接受手術治療的頸椎間盤突齣癥患者的臨床資料.結果 頸椎間盤突齣癥128例,均經手術治療.其中脊髓型96例,神經根型22例,混閤型10例.脊髓型和混閤型頸椎間盤突齣癥使用JOA評分,由術前(12.30±1.05)分至術後(16.70±1.11)分.神經根型頸椎間盤突齣癥使用VSA評分:由術前(8.10±1.37)分至術後(0.30±0.19)分.結論 認識其遊離壓迫物和硬膜囊、後縱韌帶、神經結構之間的相互關繫,正確選擇手術方案和手術細節可以確保手術安全性和有效率.
목적 탐토경추간반돌출증적림상병리특점、림상분형급수술요점.방법 회고성분석1999년1월지2010년10월접수수술치료적경추간반돌출증환자적림상자료.결과 경추간반돌출증128례,균경수술치료.기중척수형96례,신경근형22례,혼합형10례.척수형화혼합형경추간반돌출증사용JOA평분,유술전(12.30±1.05)분지술후(16.70±1.11)분.신경근형경추간반돌출증사용VSA평분:유술전(8.10±1.37)분지술후(0.30±0.19)분.결론 인식기유리압박물화경막낭、후종인대、신경결구지간적상호관계,정학선택수술방안화수술세절가이학보수술안전성화유효솔.
Objective To study the pathology,clinical classification and surgical treatment of cervical disc herniation.Methods The clinical data of patients of cervical disc herniation from January 1999 to October 2010 were collected.Results All the 128 cases of cervical disc herniation were surgically treated.Among the 128 cases,96 cases with myelopathy,22 cases with radiculopathy and 10 cases with both.JOA and VSA scores were used to evaluate the surgical effectiveness respectively for myelopathy and radiculopathy.JOA score was improved from 12.30 ± 1.05 before to 16.70 ± 1.11after operation.VSA score was improved from 8.10 ± 1.37 before to 0.30 ±0.19 after operation.Conclusions The high safety and effectiveness of surgery for cervical disc herniation could be achieved both by the awareness of the pathological characteristics of how the sequestrated disc materical relates to the nerve structure in the canal and by paying attention to specific operation details.
