CAJ | 학술논문

目的：对后路颈椎管内肿瘤切除术对颈椎稳定性的影响进行分析探讨。方法抽取在2009年1月至2013年12月间我院收治的临床确诊颈椎椎管内肿瘤32例，将其按照手术方式分成后方经双侧椎板切除入路组和经半椎板切除入路组，分别定义为甲组和乙组。结果经术后随访发现，甲组患者颈椎不稳定发生率较乙组发生显著升高（P<0.05）。结论常规后路椎板切除与半椎板切除两种手术方式均会对颈椎生物力学改变产生影响，临床应对其给予重视。
목적：대후로경추관내종류절제술대경추은정성적영향진행분석탐토。방법추취재2009년1월지2013년12월간아원수치적림상학진경추추관내종류32례，장기안조수술방식분성후방경쌍측추판절제입로조화경반추판절제입로조，분별정의위갑조화을조。결과경술후수방발현，갑조환자경추불은정발생솔교을조발생현저승고（P<0.05）。결론상규후로추판절제여반추판절제량충수술방식균회대경추생물역학개변산생영향，림상응대기급여중시。
Objective To the posterior cervical spine canal tumor resection to analyze the effect on the stability of the cervical spine. Methods From January 2009 to December 2013 our hospital the clinical diagnosis of 32 cases of cervical spinal canal tumor, it shall, in accordance with the operation method is divided into the rear by bilateral vertebral lamina resection in the group and the half lamina resection in the group, deifned as A and B, respectively. Results After postoperative follow-up found group A patients with cervical spine instability division was signiifcantly higher than the incidence of group B (P<0.05). Conclusion Conventional posterior vertebral lamina excision and half lamina excision surgery way all affect cervical spine biomechanics changes, clinical response to its attention.