中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2015年
1期
22-25
,共4页
微创%颈椎椎板开窗%黄韧带肥厚症
微創%頸椎椎闆開窗%黃韌帶肥厚癥
미창%경추추판개창%황인대비후증
Minimally invasive%cervical vertebral lamina windowing%yellow ligament hypertrophy
目的：探讨经肌间隙入路颈椎板开窗治疗黄韧带肥厚与骨化症的方法与效果。方法：采用经肌间隙入路颈椎板开窗治疗黄韧带肥厚与骨化症17例，随访时间4个月~5年3个月，平均2年8个月，通过JOA评分与影像学检查评价手术疗效。结果：术后2 d、2个月至最后复查时，颈椎曲度变直4例中2例恢复正常序列；术前JOA评分平均（9.59±2.53）分，术后（13.35±2.85）分，改善率平均52.28%（t＝4.08，P＜0.05）；17例中优11例，良4例，中2例。结论：经肌间隙入路颈椎板开窗治疗黄韧带肥厚与骨化症，手术操作简便，既可以保留颈椎后方肌肉完整，避免或减少颈部“轴性症状”的发生，又可以使椎管获得有效的减压。
目的：探討經肌間隙入路頸椎闆開窗治療黃韌帶肥厚與骨化癥的方法與效果。方法：採用經肌間隙入路頸椎闆開窗治療黃韌帶肥厚與骨化癥17例，隨訪時間4箇月~5年3箇月，平均2年8箇月，通過JOA評分與影像學檢查評價手術療效。結果：術後2 d、2箇月至最後複查時，頸椎麯度變直4例中2例恢複正常序列；術前JOA評分平均（9.59±2.53）分，術後（13.35±2.85）分，改善率平均52.28%（t＝4.08，P＜0.05）；17例中優11例，良4例，中2例。結論：經肌間隙入路頸椎闆開窗治療黃韌帶肥厚與骨化癥，手術操作簡便，既可以保留頸椎後方肌肉完整，避免或減少頸部“軸性癥狀”的髮生，又可以使椎管穫得有效的減壓。
목적：탐토경기간극입로경추판개창치료황인대비후여골화증적방법여효과。방법：채용경기간극입로경추판개창치료황인대비후여골화증17례，수방시간4개월~5년3개월，평균2년8개월，통과JOA평분여영상학검사평개수술료효。결과：술후2 d、2개월지최후복사시，경추곡도변직4례중2례회복정상서렬；술전JOA평분평균（9.59±2.53）분，술후（13.35±2.85）분，개선솔평균52.28%（t＝4.08，P＜0.05）；17례중우11례，량4례，중2례。결론：경기간극입로경추판개창치료황인대비후여골화증，수술조작간편，기가이보류경추후방기육완정，피면혹감소경부“축성증상”적발생，우가이사추관획득유효적감압。
Objective To explore the cervical plate gap into the road window treatment on yellow ligament hypertrophy and the method with effect. Methods Cervical utilization of the gap in the panel window treat?ment for yellow ligament hypertrophy and fop was used in 17 cases with a follow-up from 4 months to 5 years and 3 months, averaging 2 years and 8 months, by JOA scores and imaging studies evaluating the effect of sur?gery. Results The review from 2 d after operation and 2 months to finally review showed cervical curvature straightened in 4 cases and 2 cases of normal sequence. Preoperative JOA score an average of (9.59±2.53) points and (13.35±2.85) points and period with an average of 52.28% (t = 4.08, P<0.05) of the total 17 cases, 11 cas?es were excellent, 4 cases good, and 2 cases fair. Conclusion The cervical plate clearance into the road win?dow treatment on yellow ligament hypertrophy and fop is a simple operation, that can not only keep complete cer?vical back muscle, avoiding or reducing the neck to the occurrence of axial symptoms, but also the vertebral ca?nal can get effective relief.
