CAJ | 학술논문

目的：探讨颈椎后纵韧带骨化症的三种手术方式的疗效以及并发症。方法选择确诊为颈椎后纵韧带骨化症并进行手术治疗的患者168例，随进分为A组（颈后路手术组）、B组（颈前路手术组）、C组（前后路联合手术组）进行临床研究。研究三组疗效以及并发症发生情况。结果 A组手术后颈椎神经功能评分及改善率显著高于B组和C组，差异有显著性（ P <0.05）。A组患者的总体并发症为15.0%，显著低于B组（18.3%）和C组（45.0%），差异有显著性（ P <0.05）。结论三种手术方式在治疗颈椎后纵韧带骨化症的过程中均不可避免出现一些并发症，但是其中以颈后路手术的临床疗效较好，并发症较少。
목적：탐토경추후종인대골화증적삼충수술방식적료효이급병발증。방법선택학진위경추후종인대골화증병진행수술치료적환자168례，수진분위A조（경후로수술조）、B조（경전로수술조）、C조（전후로연합수술조）진행림상연구。연구삼조료효이급병발증발생정황。결과 A조수술후경추신경공능평분급개선솔현저고우B조화C조，차이유현저성（ P <0.05）。A조환자적총체병발증위15.0%，현저저우B조（18.3%）화C조（45.0%），차이유현저성（ P <0.05）。결론삼충수술방식재치료경추후종인대골화증적과정중균불가피면출현일사병발증，단시기중이경후로수술적림상료효교호，병발증교소。
Objective To explore the efficacy and complications of three methods for treatment of ossification of posterior longitudinal liga-ment of cervical vertebra. Methods A total of 168 patients with ossification of posterior longitudinal ligament of cervical vertebra received surgical treatment were divided into three groups in order to test and study their clinical efficacy and complications,they were Group A( with posterior ap-proach),Group B( with anterior approach)and Group C( with combined anterior and posterior approaches). Results The scores of patients in group A after surgery were significantly higher than those of patients in group B and group C( P <0. 05). The overall incidence of complications in patients of group A was lower than that of groups B and C. There was a significant difference( P <0. 05). Conclusion Complications are usu-ally occurred in all these three types of surgery on ossification of posterior longitudinal ligament of cervical vertebra during the treatment of cervical spine disease,among them,surgery with posterior approach is the best in clinical curative effect with less complications.