摘要
本文报告９２例颈椎管狭窄症并经手术治疗，手术指征主要依据临床和影像学表现而定。相当多的病例是在某节段造成局限性压迫，而非整个狭窄的颈椎管都具致压作用。颈椎管狭窄症节段性致压物的存在，是手术减压的重要目标，减压入路的选择主要依据临床症状和体征。如果表现为某一节段压迫，以前路直接切除致压物为佳，而多节段致压因素存在，则以后路椎板形成或半椎板切除减压更为合适。随访９２例，平均随访时间２３月，优２１例，良４５例，可１８例，无变化８例。
Ninty two cases of stenosis of cervical spine canal were treated with surgery,which depended
on the clinical and radiographic manifestation. Majority of the patients were not with
compression in total narrowed cervical spinal canal,just with local comperssion in some
segments. The aim of decopressive operation was to remove the local compressive factors in
cervical spinal canal.Decompression from anterior approach was chosen if the compressive
lesion located in single segment.Laminoplasty or hemilaminectomy from posterior approach
was performed if there were compressive lesions in multiple segments.All of the patients
were followed up for a mean of 23 monthes.The results were excellent in 21 cases,good in 45
cases,fair in 18 cases and no change in 8 cases.
出处
《中国矫形外科杂志》
CAS
CSCD
1995年第3期153-155,共3页
Orthopedic Journal of China
