期刊文献+

系统康复治疗对颈前路术后轴性症状的影响 被引量:5

原文传递
导出
摘要 目的观察手术前、后系统康复治疗对脊髓型颈椎病患者行颈椎前路手术后颈部轴性症状(AS)的影响。方法共选取102例脊髓型颈椎病患者,采用随机数字表法将其分为康复组及对照组,2组患者均给予颈椎前路手术治疗,康复组患者于手术前、后给予系统康复治疗。于术前、术后3、6、12及24个月时采用日本整形外科协会(JOA)评分对2组患者脊髓功能进行评定,并对比2组患者在各随访时间点的AS发生率及病情程度。结果2组患者经手术治疗后,发现其脊髓功能均较治疗前明显改善(P〈0.05),且组间差异无统计学意义(P〉0.05);术后3个月时2组患者AS发生率组间差异无统计学意义(P〉0.05);术后6、12及24个月时康复组患者AS发生率明显低于对照组水平(P〈0.05)。结论手术前、后辅以系统康复治疗有助于颈椎前路术后患者AS病情缓解,但对于AS的预防作用有待提高。
出处 《中华物理医学与康复杂志》 CAS CSCD 北大核心 2011年第2期119-121,共3页 Chinese Journal of Physical Medicine and Rehabilitation
基金 河北省卫生厅重点资助项目(20090124)
  • 相关文献

参考文献14

二级参考文献67

  • 1王春丽,杜良杰.颈椎椎管扩大成形术后生理曲度恶化的相关因素分析[J].郑州大学学报(医学版),2006,41(2):359-362. 被引量:7
  • 2张士波,陈志勇,程显江,张仲明,张露,王巍,王东.重症脊髓型颈椎病前后路一期联合手术的疗效观察[J].中国骨与关节损伤杂志,2006,21(11):903-904. 被引量:8
  • 3张为,陈百成,丁文元,董玉昌,李宝俊,王磊,关晓明.术后围领佩戴时间对颈椎轴性症状的影响[J].中国康复医学杂志,2007,22(2):129-132. 被引量:20
  • 4吕振木,申勇,徐英进,丁文元,杨大龙,王建军.后前路联合入路治疗重症脊髓型颈椎病[J].中国矫形外科杂志,2007,15(5):344-346. 被引量:20
  • 5Yukawa Y, Kato F, Ito K, et al. Laminoplasty and skip laminectomy for cervical compressive myelopathy: range of motion, postoperative neck pain,and surgical outcomes in a randomized prospective study. Spine ,2007,32 : 1980-1985.
  • 6Takeuchi K, Yokoyama T, Aburakawa S, et al. Axial symptoms after cervical laminoplasty with C3 laminectomy compared with conventional C3 - C7 laminoplasty:a modified laminoplasty preserving the semispinalis cervicis inserted into axis. Spine,2005,30:2544-2549.
  • 7Shiraishi T,Fukuda K,Yato Y,et al. Results of skip laminectomy-minimum 2-year follow-up study compared with open-door laminoplasty. Spine ,2003,28:2667-2672.
  • 8Liu J,Ebraheim NA,Sanford CG Jr,et al. Preservation of the spinons process-ligament-muscle complex to prevent kyphotic deformity following laminoplasty. Spine J ,2007,7:159-164.
  • 9Iizuka H, Shimizu T,Tateno K, et al. Extensor musculature of the cervical spine after laminoplasty : morphologic evaluation by coronal view of the magnetic resonance image. Spine,2001,26:2220-2226.
  • 10Hosono N,Yonenobu K,Ono K.Neck and shoulder pain after lami-noplasty.A noticeable complication.Spine,1996,21:1969-1973.

共引文献380

同被引文献91

  • 1曾岩,党耕町,马庆军.颈椎前路术后融合节段曲度变化与轴性症状和神经功能的相关性研究[J].中国脊柱脊髓杂志,2004,14(9):520-523. 被引量:107
  • 2张为,陈百成,申勇,董玉昌,丁文元,李宝俊,姚晓光.颈3椎板切除单开门成形术对颈椎轴性症状的影响[J].中华骨科杂志,2006,26(8):544-548. 被引量:50
  • 3张为,陈百成,丁文元,董玉昌,李宝俊,王磊,关晓明.术后围领佩戴时间对颈椎轴性症状的影响[J].中国康复医学杂志,2007,22(2):129-132. 被引量:20
  • 4Yoshiharu K, Masahiko K, Hirokazu I, et al. Preventive Measures for Axial Symptoms Following[J]. J Spinal Disord Tech,2003,6 (16):497-510.
  • 5Kawaguchi Y, Matsui H, Ishihara H, et al. Axial symptoms after en bloc cervical laminoplasty[J]. J Spinal Disord,1999,12(5): 392-395.
  • 6Fukui K, Kataka O, Sho T, et al. Pathomechanism,pathogenesis, and results of treatment in cervical spondylotic myelopathy caused by dynamic stenosis[J]. Spine,1990,15(ll):1148-1152.
  • 7Uematsu Y, Tokuhsshi Y, Matsuzaki H, et al. Radiculopathy after laminoplasty of the cervical spine[J]. Spine,1998,23(19): 2057-2062.
  • 8Christos S, Richard W, Christopher M, et al. Low-frequency sub- thalamic nucleus deep brain stimulation for axial symptoms in ad- vanced Parkinson' s disease[J]. J Neurol,2013,260(9):2306-2311.
  • 9Kawaguchi Y, Nagami S, Nakano M, et al. Relationship between postoperative axial symptoms and the rotational angle of the cervi- cal spine after laminoplasty[J]. Eur J Orthop Surg Traumatol,2013, 23(1):53-58.
  • 10Yoshiharu K, Masahiko K, Hirokazu I, et al. Preventive Measures for Axial Symptoms Following[J]. J Spinal Disord Tech,2003,6 (16):497-510.

引证文献5

二级引证文献21

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部