湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
Journal of Hunan Normal University (Medical Science)
2015年
5期
98-100
,共3页
Centerpiece钛板内固定%后路椎管成形术%颈椎管狭窄%脊髓型颈椎病
Centerpiece鈦闆內固定%後路椎管成形術%頸椎管狹窄%脊髓型頸椎病
Centerpiece태판내고정%후로추관성형술%경추관협착%척수형경추병
fixed centerpiece titanium plate%posterior spinal arthroplasty%cervical stenosis%cervical myelopathy
目的：研究与分析颈椎管狭窄并脊髓型颈椎病采用Centerpiece钛板内固定治疗疗效。方法：选取本院74例颈椎管狭窄并脊髓型颈椎病患者按照随机数字表法分为对照组与观察组，各37例。2组患者均采用后路椎管成形术治疗；对照组术后采用传统固定术治疗；观察组术后采用Centerpiece钛板内固定治疗。观察与统计2组患者术前、术后JOA评分情况和疼痛及轴性症状发生情况；并统计2组患者发生椎板塌陷及关门现象。结果：术后观察组JOA评分为（15.02±1.21）分与对照组（12.07±1.14）分比较（P<0.05）；2组较术前比较JOA评分均明显提高。观察组疼痛和轴性症状发生率分别为5.41%（2/37）、2.70%（1/37）低于对照组18.92%%（7/37）、29.73%（11/37）。观察组椎板塌陷及关门现象发生率明显低于对照组。结论：临床采用后路椎管成形术治疗颈椎管狭窄并脊髓型颈椎病患者，术后采用Centerpiece钛板内固定治疗效果明显优于传统内定，其可减轻患者疼痛和减少并发症发生，值得推广应用。
目的：研究與分析頸椎管狹窄併脊髓型頸椎病採用Centerpiece鈦闆內固定治療療效。方法：選取本院74例頸椎管狹窄併脊髓型頸椎病患者按照隨機數字錶法分為對照組與觀察組，各37例。2組患者均採用後路椎管成形術治療；對照組術後採用傳統固定術治療；觀察組術後採用Centerpiece鈦闆內固定治療。觀察與統計2組患者術前、術後JOA評分情況和疼痛及軸性癥狀髮生情況；併統計2組患者髮生椎闆塌陷及關門現象。結果：術後觀察組JOA評分為（15.02±1.21）分與對照組（12.07±1.14）分比較（P<0.05）；2組較術前比較JOA評分均明顯提高。觀察組疼痛和軸性癥狀髮生率分彆為5.41%（2/37）、2.70%（1/37）低于對照組18.92%%（7/37）、29.73%（11/37）。觀察組椎闆塌陷及關門現象髮生率明顯低于對照組。結論：臨床採用後路椎管成形術治療頸椎管狹窄併脊髓型頸椎病患者，術後採用Centerpiece鈦闆內固定治療效果明顯優于傳統內定，其可減輕患者疼痛和減少併髮癥髮生，值得推廣應用。
목적：연구여분석경추관협착병척수형경추병채용Centerpiece태판내고정치료료효。방법：선취본원74례경추관협착병척수형경추병환자안조수궤수자표법분위대조조여관찰조，각37례。2조환자균채용후로추관성형술치료；대조조술후채용전통고정술치료；관찰조술후채용Centerpiece태판내고정치료。관찰여통계2조환자술전、술후JOA평분정황화동통급축성증상발생정황；병통계2조환자발생추판탑함급관문현상。결과：술후관찰조JOA평분위（15.02±1.21）분여대조조（12.07±1.14）분비교（P<0.05）；2조교술전비교JOA평분균명현제고。관찰조동통화축성증상발생솔분별위5.41%（2/37）、2.70%（1/37）저우대조조18.92%%（7/37）、29.73%（11/37）。관찰조추판탑함급관문현상발생솔명현저우대조조。결론：림상채용후로추관성형술치료경추관협착병척수형경추병환자，술후채용Centerpiece태판내고정치료효과명현우우전통내정，기가감경환자동통화감소병발증발생，치득추엄응용。
ObjectiveResearch and Analysis of cervical stenosis and cervical myelopathy using Centerpiece titanium plate fixation therapy.Methods Select the hospital 74 cases of cervical stenosis and cervical myelopathy were randomly divided in accordance with the control group and the observation group, 37 cases each. Group 2 patients were treated with posterior spinal angioplasty; the control group after treatment with traditional fixation; observation group were using the Centerpiece titanium plate fixation. Observed before and Statistical two groups of patients, postoperative JOA score situation and the pain and the incidence of axial symptoms; and statistics group 2 patients lamina collapse and closed phenomenon.Results After surgery, the observation group JOA score was (15.02±1.21) points to the control group (12.07±1.14) min comparison (P<0.05); 2 group than in the comparison of preoperative JOA score was significantly improved (P<0.05). Observed axial symptoms of pain and the incidence of 5.41%, respectively (2/37), 2.70% (1/37) and the control group 18.92%% (7/37), 29.73% (11/37) com-pare (P<0.05). Lamina colapse and close observation of the phenomenon of group were significantly lower than control group. Conclusion Clinical use of posterior cervical spinal stenosis angioplasty and patients with cervical myelopathy, after using the Centerpiece titanium plate fixation is better than the traditional default, which reduce patient pain and reduce complications, should be widely applied.
