摘要
目的总结经前路减压融合固定术治疗脊髓型颈椎病的体会,探讨分析其治疗效果。方法回顾性分析1999年8月至2008年6月我院骨科采取经前路减压融合固定术治疗的61例脊髓型颈椎病病例,男34例,女27例;单间隙37例,两间隙19例,3间隙5例。术前术后按JOA评分标准评估患者的神经功能,比较术前、后之得分判定手术效果。结果术后随访6～24个月,平均12.8个月,平均改善率81.2%,优良率92.1%,有效率97.8%。结论对于压迫主要来自前方的脊髓型颈椎病,前路减压融合固定术确为一种理想的治疗手段。
Objectives To summarize the experience of anterior operative approach in the treatment of cervical spondylotic myelopathy, analyze and discuss the effectiveness of treatments. Methods Retrospectively analyzing the 61 cases of cervical spondylotic myelopathy treated by anterior operative approach from August 1999 to June 2008, including 34 cases for males, 27 cases for females; 37 cases of one segment, 19 cases of two segments, 5 cases of three segments. The neurological function was evaluated according to JOA standard before and after the operation and the effectiveness was determined by comparison of scores. Results The follow-up period was 6 to 24 months and the average was 12.8 months. Average symptom improvement rate, fineness rate and effectiveness rate were 81.2%, 92.1% and 97.8% respectively. Conclusion Anterior operative approach is an ideal means for cervical spondylotic myeopathy which compression comes from the front side.
出处
《临床医学工程》
2009年第11期42-43,共2页
Clinical Medicine & Engineering
关键词
前路
脊髓型颈椎病
减压融合固定
anterior approach
cervical spondylotic myeopathy
decompression fusion and internal fixation
