摘要
目的对比研究C_3~C_6与C_3~C_7单开门椎管扩大成形术的疗效。方法回顾性分析2013年6月至2015年2月在郑州大学第一附属医院行C_3~C_6(A组19例)或C_3~C_7(B组22例)单开门椎管扩大椎板成形术的患者,比较两组手术时间、术中出血量、术前后JOA评分、术前后颈椎活动度、术后轴性症状发生率。结果两组手术时间、术中出血量比较,差异无统计学意义(P>0.05);术后随访12个月,两组脊髓功能改善率、颈椎活动度和轴性症状发生率比较,差异无统计学意义(P>0.05)。结论 C_3~C_6与C_3~C_7单开门椎管扩大成形术后疗效相当。
Objective To discuss the curative effect between C3 - C7 and C3 - C6 expansive open - door cervical laminoplas- ty. Methods The clinical data of 41 patients treated in the First Affiliated Hospital of Zhengzhou University from June of 2013 to February of 2015 were analyzed retrospectively, who underwent C3 -C6 （group A 19 patients） and C3 -C7 （group B 22 pa- tients） expansive open -door cervical laminoplasty. The operative time, intraoperative bleeding volume, the JOA score before and after the operation, the cervical vertebra activity before and after the operation, the rate of axial pain after the operation were compared. Results There was no significant difference in the amount of blood loss and the operative time between two groups （ P 〉 0. 05 ）. After 12 months of follow - up, the JOA improvement rate, cervical vertebra activity and the incidence of axial pain showed no difference between two groups （P 〉 0. 05 ）. Conclusion The curative effect between C3 - C7 and C3 - C6 expansive open - door cervical laminoplasty have no significant difference.
作者
孟凡帅
李军伟
Meng Fanshuai Li Junwei(Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Chin)
出处
《河南医学研究》
CAS
2017年第3期408-411,共4页
Henan Medical Research
关键词
颈后路
椎管扩大成形术
疗效
posterior cervical
expansive open -door cervical laminoplasty
curative effect
