發(fā)布時間：2018-03-17 00:15

  本文選題：脊髓型頸椎病　切入點：C5神經(jīng)根麻痹　出處：《吉林大學》2015年碩士論文　論文類型：學位論文

【摘要】：目的： 頸椎后路雙開門椎管成形術后脊髓旋轉與C5神經(jīng)根麻痹的關系。 方法： 回顧性分析2013年1月至2014年11月在我院行頸椎后路雙開門椎管成形術的頸椎管狹窄癥的患者140例，頸椎MRI資料：男78例，女62例；年齡41～82歲，，平均為61.4±9.4歲；病程17～240月。行術式為頸椎后路雙開門椎管成形術，發(fā)生C5神經(jīng)根麻痹組：11例，未發(fā)生C5神經(jīng)根麻痹組：129例。比較兩組之間的差異，分別在性別、年齡、手術時間、出血量、術前術后JOA評分、術后脊髓后移距離、術前脊髓旋轉角度、術后脊髓旋轉角度、脊髓旋轉角度改變等方面。 結果： 兩組患者性別、年齡、手術時間、出血量、術前術后JOA評分、脊髓內高信號發(fā)生率、術后脊髓后移距離無顯著性差異；兩組患者術前脊髓旋轉角度、術后脊髓旋轉角度及脊髓旋轉角度改變存在顯著差異。 結論： 1、頸椎后路雙開門椎管成形術后C5神經(jīng)根麻痹與術前脊髓旋轉及術后脊髓旋轉改變相關； 2、頸椎后路雙開門椎管成形術后C5神經(jīng)根麻痹與預后無關。
[Abstract]:Objective:. The relationship between spinal rotation and C _ 5 nerve root palsy after double open door spinal canal angioplasty. Methods:. From January 2013 to November 2014, 140 patients with cervical spinal stenosis underwent double open door laminoplasty in our hospital were retrospectively analyzed. The MRI data of cervical vertebrae were 78 males and 62 females, with an average age of 61. 4 鹵9. 4 years old. The course of the disease was 17 ~ 240 months. The operation was performed with double open door spinal canal angioplasty via posterior cervical approach. There were 11 cases of C5 nerve root palsy in the control group and 129 cases in the no C5 nerve root palsy group. The differences between the two groups were compared, including sex, age, operation time, bleeding volume, etc. JOA score before and after operation, the distance of spinal cord posterior shift, the rotation angle of spinal cord before operation, the angle of rotation of spinal cord after operation, the change of rotation angle of spinal cord, etc. Results:. There was no significant difference in sex, age, operation time, bleeding volume, JOA score, incidence of hyperintense spinal cord and the distance of spinal cord posterior shift between the two groups before and after operation, the rotation angle of spinal cord before operation was not significant between the two groups, and there was no significant difference between the two groups. There were significant differences in spinal rotation angle and spinal rotation angle after operation. Conclusion:. 1. C5 nerve root paralysis after double open door spinal canal angioplasty was related to the changes of spinal cord rotation before and after operation. 2. C 5 nerve root palsy after double open door spinal canal angioplasty was not associated with prognosis.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R687.3

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