本文選題：微型鈦板 + 帶線錨釘��； 參考：《山西醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的:比較帶線錨釘固定與微型鈦板固定在頸椎后路單開門椎管擴(kuò)大成形術(shù)中的應(yīng)用效果。方法:回顧性分析我院2010年1月至2012年6月因多節(jié)段脊髓型頸椎病分別采用頸后路單開門帶線錨釘固定與頸后路單開門微型鈦板固定治療的病例,比較兩組在手術(shù)時間、術(shù)中出血量、術(shù)后JOA評分、最窄椎管面積、并發(fā)癥等方面的差異。結(jié)果:手術(shù)時間及術(shù)中出血量:帶線錨釘組與微型鈦板組組間差異有統(tǒng)計學(xué)意義;JOA評分:術(shù)前及術(shù)后1周,帶線錨釘組與微型鈦板組組間差異無統(tǒng)計學(xué)意義,術(shù)后兩年,組間差異有統(tǒng)計學(xué)意義,微型鈦板組評分高于帶線錨釘組;最窄椎管面積:術(shù)前及術(shù)后1周,組間差異無統(tǒng)計學(xué)意義,術(shù)后兩年,組間差異有統(tǒng)計學(xué)意義,微型鈦板組最窄椎管面積大于帶線錨釘組;并發(fā)癥:兩組患者切口均為甲級愈合,未出現(xiàn)傷口感染、腦脊液漏等嚴(yán)重并發(fā)癥。結(jié)論:頸椎后路單開門椎管擴(kuò)大成形術(shù)的兩種固定方法均能增加脊髓受壓患者病變部位的椎管面積,有效改善患者神經(jīng)功能,微型鈦板固定雖有手術(shù)時間長、出血量大等缺點,但能有效防止再關(guān)門現(xiàn)象,具有更好的遠(yuǎn)期療效。
[Abstract]:Objective: to compare the effect of wire anchor screw fixation and micro titanium plate fixation in posterior open door laminoplasty. Methods: from January 2010 to June 2012, patients with cervical Spondylotic myelopathy in our hospital were treated with posterior cervical open door fixation with wire anchor nail and posterior cervical open door mini-titanium plate fixation respectively. The operative time was compared between the two groups. Differences in intraoperative bleeding, postoperative JOA score, area of the narrowest spinal canal, complications, etc. Results: the time of operation and the amount of intraoperative bleeding: there was significant difference in JOA score between the group with wire anchor nail and the group with micro titanium plate. There was no significant difference between the group with wire anchor nail and group with mini titanium plate before operation and one week after operation, but there was no significant difference between the group with wire anchor nail and group with mini titanium plate two years after operation. There was no significant difference in the area of the narrowest spinal canal between the two groups before and 1 week after operation, but two years after the operation, the difference between the two groups was statistically significant, while the score of the mini-titanium plate group was higher than that of the group with wire anchor nail, and the area of the narrowest spinal canal had no significant difference between the two groups. The area of the narrowest spinal canal in the miniature titanium plate group was larger than that in the wire anchor nail group, and the complications were as follows: the incision of both groups was grade A healing, no wound infection, cerebrospinal fluid leakage and other serious complications. Conclusion: the two methods of open door laminoplasty in posterior cervical spine can increase the area of spinal canal in patients with spinal cord compression, and improve the nerve function of patients effectively. Although the microplate fixation has the disadvantages of long operation time and large amount of bleeding, etc. But can effectively prevent the phenomenon of re-closing, has a better long-term effect.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3

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