中国处方药
中國處方藥
중국처방약
CHINA PRESCRIPTION DRUG
2014年
7期
6-7
,共2页
杨林%赵新建%曾志超%廖绪强%谭健韶%李世渊
楊林%趙新建%曾誌超%廖緒彊%譚健韶%李世淵
양림%조신건%증지초%료서강%담건소%리세연
脊髓型颈椎病%前路手术%后纵韧带
脊髓型頸椎病%前路手術%後縱韌帶
척수형경추병%전로수술%후종인대
Cervical spondylotic myelopathy%Anterior operation%Posterior longitudinal ligament
目的：探讨颈前路减压并后纵韧带切除治疗脊髓型颈椎病（CSM）的临床疗效。方法采用颈前路手术治疗脊髓型颈椎病（CSM）84例，其中后纵韧带切除组（A组）35例，后纵韧带保留组（B组）49例，记录手术出血量、手术时间，住院时间及手术并发症，并采用JOA评分系统比较2组患者术后1年神经功能改善率。结果2组术中出血量、住院时间比较无显著性差异；A组手术时间长于B组，差异有统计学意义（P＜0.05）。A组术后1年神经功能改善优良率87.5%，高于B组的71.8%，差异有统计学意义（P＜0.05）。A组术中出现脑脊液漏2例。结论颈前路减压术中切除后纵韧带能提高术后神经功能改善率，但手术有一定并发症，应根据术前影像学资料结合术中情况决定是否需要切除后纵韧带。
目的：探討頸前路減壓併後縱韌帶切除治療脊髓型頸椎病（CSM）的臨床療效。方法採用頸前路手術治療脊髓型頸椎病（CSM）84例，其中後縱韌帶切除組（A組）35例，後縱韌帶保留組（B組）49例，記錄手術齣血量、手術時間，住院時間及手術併髮癥，併採用JOA評分繫統比較2組患者術後1年神經功能改善率。結果2組術中齣血量、住院時間比較無顯著性差異；A組手術時間長于B組，差異有統計學意義（P＜0.05）。A組術後1年神經功能改善優良率87.5%，高于B組的71.8%，差異有統計學意義（P＜0.05）。A組術中齣現腦脊液漏2例。結論頸前路減壓術中切除後縱韌帶能提高術後神經功能改善率，但手術有一定併髮癥，應根據術前影像學資料結閤術中情況決定是否需要切除後縱韌帶。
목적：탐토경전로감압병후종인대절제치료척수형경추병（CSM）적림상료효。방법채용경전로수술치료척수형경추병（CSM）84례，기중후종인대절제조（A조）35례，후종인대보류조（B조）49례，기록수술출혈량、수술시간，주원시간급수술병발증，병채용JOA평분계통비교2조환자술후1년신경공능개선솔。결과2조술중출혈량、주원시간비교무현저성차이；A조수술시간장우B조，차이유통계학의의（P＜0.05）。A조술후1년신경공능개선우량솔87.5%，고우B조적71.8%，차이유통계학의의（P＜0.05）。A조술중출현뇌척액루2례。결론경전로감압술중절제후종인대능제고술후신경공능개선솔，단수술유일정병발증，응근거술전영상학자료결합술중정황결정시부수요절제후종인대。
Objective To discuss the clinic results of resection of posterior longitudinal ligament(PLL) during the anterior decompression for cervical spondylotic myelopathy.Methods 84 cases which had been carried out anterior cervical decompression in the treatment of CSM were reviewed,and there were 35 cases PLL resection(group A) and there were 49 cases PLL reserved(group B). The operation time and intraoperative blood loss, length of hospital stays, complication were recorded.The Japanese Orthopedic Association(JOA) scoring system was used for evaluation of neurological function recovery rate in a year after surgery.Results There were no significant differences in operation time and length of hospital stays between two group(P>0.05); The operative time in group A were more than that of group B(P<0.05). 1 year after surgery,the JOA values of neurological function recovery rate were 87.5% in group A which was significantly higher than that in group B(71.8%)(P<0.05).3 cases suffered from postoperative cerebrospinal fluid leakage in group B, which was cured by conservative treatment.Conclusions Resection of posterior longitudinal ligament in anterior decompression can improve neurological function recovery rate.Complications may be encountered during this procedure.Preoperative characteristics in radiograph and intraoperative palpation of PLL can be used to determine the necessity of resection of PLL.
