摘要
我们收集了本科经前方人路治疗颈椎病，术后来院复查的１１２例患者的资料，其中脊髓型８４例，脊髓神经根型２８例。采用Ｃｌｏｗａｒｄ术式６１例，Ｒｏｂｉｎｓｏｎ－Ｓｍｉｔｈ术式６例，椎体次全切４５例。复查时间１４个月～９年，平均１７．６个月。全部病例行Ｘ线摄片检查，同时行脊髓造影３例，ＣＴ扫描８例，ＭＲ检查７例。发现术后椎间隙塌陷，占４２％（４７例）。术后仍有较重症状的４１例（３６．６％）。结合患者术后复查时的症状，我们认为，术后严重的椎间隙塌陷是前方入路术后症状改善不理想或症状复发的重要原因。它可再次造成神经根和脊髓的压迫症状。本文对造成术后椎间隙塌陷变窄的原因进行了探讨。
patients with cervical spondylotic myelopathy(84 cases)and myeloradiculopathy(28 cases)were operated on via anterior approach(61 CIoward’s,6 Robinson-Smith’S and 45 vertebrectomy),and fol-lowed up for 14 monthes to 9 years.repeat X-ray films were taken in all patients,myelographing in 3,CT scan in 8 and MR in 7 cases.We found that the collapsing rate of the operated intervertebral space was 42%(47 cases),and the postoperative conditions were deteriorated in 41 cases(36.6%).According to the results of reexamination,we consider the collapse of the operated intervertebral space is one of the reasons of poorsurgical results of recurrence.
出处
《军医进修学院学报》
CAS
1996年第4期254-257,共4页
Academic Journal of Pla Postgraduate Medical School
关键词
颈椎病
外科手术
并发症
cervical spondglopathy
surgery
postoperatie complications
