福建医科大学学报
福建醫科大學學報
복건의과대학학보
Journal of Fujian Medical University
2015年
4期
243-248
,共6页
椎管/外科学%钛%颈椎%颈椎病
椎管/外科學%鈦%頸椎%頸椎病
추관/외과학%태%경추%경추병
spinal canal/surgery%titanium%cervical vertebrae%cervical spondylosis
目的：探讨单开门椎管扩大成形结合微型钛板内固定术的短期疗效。方法回顾性分析行单开门椎管扩大成形微型钛板内固定术的61例患者的手术时间、出血量、JOA 评分、颈椎管矢状径、颈椎生理曲度的变化以及相关并发症情况,评估该术式的临床疗效。结果61例患者手术时间(149.02±41.34)min,术中出血(154.92±100.29)mL。JOA 评分术前为(8.15±2.20)分,术后6月为(14.33±1.74)分,较术前明显提高(P <0.05),脊髓功能改善率为68.41%。术前颈椎曲度(19.06±7.39)°,术后6月为(16.30±6.69)°,较术前有所下降(P <0.05)。各节段的椎管矢状径术前为(8.42±1.73)mm,术后为(16.21±2.92)mm,较术前显著性提高(P <0.05),颈椎管矢状径改善率92.6%。术后9例(14.75%)出现轴性症状。结论单开门椎管扩大成形微型钛板内固定术在神经功能恢复、术后椎管矢状径恢复均满意,操作简便,是一种安全有效、操作简单、疗效显著的新术式。
目的：探討單開門椎管擴大成形結閤微型鈦闆內固定術的短期療效。方法迴顧性分析行單開門椎管擴大成形微型鈦闆內固定術的61例患者的手術時間、齣血量、JOA 評分、頸椎管矢狀徑、頸椎生理麯度的變化以及相關併髮癥情況,評估該術式的臨床療效。結果61例患者手術時間(149.02±41.34)min,術中齣血(154.92±100.29)mL。JOA 評分術前為(8.15±2.20)分,術後6月為(14.33±1.74)分,較術前明顯提高(P <0.05),脊髓功能改善率為68.41%。術前頸椎麯度(19.06±7.39)°,術後6月為(16.30±6.69)°,較術前有所下降(P <0.05)。各節段的椎管矢狀徑術前為(8.42±1.73)mm,術後為(16.21±2.92)mm,較術前顯著性提高(P <0.05),頸椎管矢狀徑改善率92.6%。術後9例(14.75%)齣現軸性癥狀。結論單開門椎管擴大成形微型鈦闆內固定術在神經功能恢複、術後椎管矢狀徑恢複均滿意,操作簡便,是一種安全有效、操作簡單、療效顯著的新術式。
목적：탐토단개문추관확대성형결합미형태판내고정술적단기료효。방법회고성분석행단개문추관확대성형미형태판내고정술적61례환자적수술시간、출혈량、JOA 평분、경추관시상경、경추생리곡도적변화이급상관병발증정황,평고해술식적림상료효。결과61례환자수술시간(149.02±41.34)min,술중출혈(154.92±100.29)mL。JOA 평분술전위(8.15±2.20)분,술후6월위(14.33±1.74)분,교술전명현제고(P <0.05),척수공능개선솔위68.41%。술전경추곡도(19.06±7.39)°,술후6월위(16.30±6.69)°,교술전유소하강(P <0.05)。각절단적추관시상경술전위(8.42±1.73)mm,술후위(16.21±2.92)mm,교술전현저성제고(P <0.05),경추관시상경개선솔92.6%。술후9례(14.75%)출현축성증상。결론단개문추관확대성형미형태판내고정술재신경공능회복、술후추관시상경회복균만의,조작간편,시일충안전유효、조작간단、료효현저적신술식。
Objective To evaluate the short-term clinical effects of the mini titanium plate in cer-vical expansive open-door laminoplasty. Methods The clinical data of 61 patients with cervical stenosis that had been treated with cervical open-door laminoplasty with mini titanium plate fixation were retrospec-tively analyzed. The operation time,blood loss,Japanese Orthopaedic Association Scores (JOA score), the changes of sagittal diameter of cervical canal and cervical curve before and after surgery,and postoper-ative complications were evaluated to assess the effect of this surgery. Results The average operation time was (149.02±41.34)min. The blood loss was (154.94±100.29)mL. The JOA score before sur-gery score was (8.15±2.20),while the JOA score after surgery increased to (14.33 ±1.74)which was significantly improved (P <0.05). The improve rate of JOA score was 68.41%. The cervical curve be-fore surgery was (1 9.06 ±7.39)°,while the cervical curve decreased to (1 6.30 ±6.69)°6 months after surgery,which had significantly statistically difference (P <0.05). The average sagittal cervical canal di-ameter before surgery was (8.42±1.73)mm,while the average sagittal cervical diameter after surgery was (1 6.21 ± 2.92 )mm. The improvement rate of sagittal cervical diameter was 92.6%. Five cases (1 6.12%)appeared axial symptoms. Conclusion Open-door laminoplasty with mini titanium plate inter-nal fixation can achieve satisfied clinical effects on the recovery of neural function and improvement rate of sagittal cervical canal diameter. The laminoplasty with mini plate fixation is proved to be a safe and effec-tive operation.
