中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
23期
6-7
,共2页
颈椎%椎板成形术%轴性症状%颈椎曲度
頸椎%椎闆成形術%軸性癥狀%頸椎麯度
경추%추판성형술%축성증상%경추곡도
Cervical%Axial syndrome%Laminoplast%Cervical curvature
目的：观察评价颈椎单开门桥式植骨椎板成形术的临床疗效。方法：2008年6月～2013年6月对45例脊髓型颈椎病患者行颈椎单开门桥式植骨椎板成形术。回顾性分析其临床资料（A组），与同期38例行常规单开门丝线悬吊手术的患者（B组）进行对比分析。记录手术时间、轴性症状及JOA评分，颈椎曲度指数。结果：A组患者均获随访10～23个月，平均15个月。B组患者均获随访11～25个月，平均16个月。手术时间：A组125±20分钟，B组80±25分钟，差异有统计学意义（P＜0．05）；JOA评分：A组恢复率为61．4±24．4％，B组为61．7±17．9％（P＞0．05）；A组8例（17．8％）、B组18例（47．4％）术后发生轴性症状或加重，组间比较差异有统计学意义（P＜0．05）；A组曲度指数术后丢失2．34±1．35％，B组术后丢失5．17±3．24％，2组差异有统计学意义（P＜0．05）。结论：颈椎单开门桥式植骨椎板成形术，可有效减少颈椎曲度的丢失和轴性症状的发生，治疗脊髓型颈椎病疗效确切。
目的：觀察評價頸椎單開門橋式植骨椎闆成形術的臨床療效。方法：2008年6月～2013年6月對45例脊髓型頸椎病患者行頸椎單開門橋式植骨椎闆成形術。迴顧性分析其臨床資料（A組），與同期38例行常規單開門絲線懸弔手術的患者（B組）進行對比分析。記錄手術時間、軸性癥狀及JOA評分，頸椎麯度指數。結果：A組患者均穫隨訪10～23箇月，平均15箇月。B組患者均穫隨訪11～25箇月，平均16箇月。手術時間：A組125±20分鐘，B組80±25分鐘，差異有統計學意義（P＜0．05）；JOA評分：A組恢複率為61．4±24．4％，B組為61．7±17．9％（P＞0．05）；A組8例（17．8％）、B組18例（47．4％）術後髮生軸性癥狀或加重，組間比較差異有統計學意義（P＜0．05）；A組麯度指數術後丟失2．34±1．35％，B組術後丟失5．17±3．24％，2組差異有統計學意義（P＜0．05）。結論：頸椎單開門橋式植骨椎闆成形術，可有效減少頸椎麯度的丟失和軸性癥狀的髮生，治療脊髓型頸椎病療效確切。
목적：관찰평개경추단개문교식식골추판성형술적림상료효。방법：2008년6월～2013년6월대45례척수형경추병환자행경추단개문교식식골추판성형술。회고성분석기림상자료（A조），여동기38례행상규단개문사선현조수술적환자（B조）진행대비분석。기록수술시간、축성증상급JOA평분，경추곡도지수。결과：A조환자균획수방10～23개월，평균15개월。B조환자균획수방11～25개월，평균16개월。수술시간：A조125±20분종，B조80±25분종，차이유통계학의의（P＜0．05）；JOA평분：A조회복솔위61．4±24．4％，B조위61．7±17．9％（P＞0．05）；A조8례（17．8％）、B조18례（47．4％）술후발생축성증상혹가중，조간비교차이유통계학의의（P＜0．05）；A조곡도지수술후주실2．34±1．35％，B조술후주실5．17±3．24％，2조차이유통계학의의（P＜0．05）。결론：경추단개문교식식골추판성형술，가유효감소경추곡도적주실화축성증상적발생，치료척수형경추병료효학절。
Objective:To evaluate the clinical outcome of open door laminoplasty using bridge grafting in treatment for cervical spondy -lotic myelopathy (CSM).Methods:Since June 2008 to June 2013,83 cases of cervical spondylosis myelopathy (CSM) patients underwent extensive open-door laminoplasty .45 patients who underwent modified open -door laminoplasty using bridge grafting were included in this study(group A).38 patients who underwent conventional C3-7 open-door laminoplasty in the authors department were served as control(group B).Preoperative and postoperative improvement rate of Japanese Orthopedic Association (JOA)scores,the degree of axial symptom,cervical curvature indices were recorded and compared .Results:The patients of group A were followed 10-23 months ( mean 15 months),and the patients of group B were followed 11-25 months(mean 16 months).The operative time was l25 ±20 min in group A and 85 ±25 min in group B,showing statistically significant difference (P<0.05),The average JOA improvement rate was 61.4 ±24.4%for group A and 61.7 ±17.9%for group B, There was no significant difference in JOA improvement rate between two groups .The rate of pa-tients with evident axial symptoms was 17.8%in group A and 47.4%in group B and the difference was statistically significant ( P<0. 05).Loss of cervical curvature indices was 2.34 ±1.35%in group A and 5.17 ±3.24%%in group B,and the difference was statistically significant (P<0.01).Conclusion:Open-door laminoplasty using bridge grafting is effective in treatment for cervical spondylotic my-elopathy , it can reduce the incidence of postoperative AS and Loss of cervical curvature .
