發(fā)布時(shí)間：2018-05-13 01:32

  本文選題：椎管擴(kuò)大成形術(shù) + 軸性癥狀��； 參考：《鄭州大學(xué)》2017年碩士論文

【摘要】：目的探討保留頸7棘突及其附屬結(jié)構(gòu)的頸后路單開門椎管擴(kuò)大成形術(shù)是否能減少術(shù)后軸性癥狀的發(fā)生。方法回顧性分析2013年6月-2015年2月在我科行頸3-6(實(shí)驗(yàn)組19例)或頸3-7(對(duì)照組22例)單開門椎管擴(kuò)大椎板成形術(shù)的多節(jié)段脊髓型頸椎病患者共41例,記錄兩組的手術(shù)時(shí)間、出血量、術(shù)前后JOA評(píng)分、術(shù)前后頸椎活動(dòng)度、術(shù)后軸性癥狀的發(fā)生率,并用統(tǒng)計(jì)學(xué)方法比較上述指標(biāo)有無顯著差異。結(jié)果隨訪12-30個(gè)月,平均21個(gè)月。兩組手術(shù)時(shí)間、出血量組間比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后12個(gè)月隨訪,兩組脊髓功能改善率、頸椎活動(dòng)度變化的組間比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);頸3-7組與頸3-6組術(shù)后軸性癥狀發(fā)生率差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論保留頸7及其附屬結(jié)構(gòu)的頸3-6椎管擴(kuò)大成形術(shù)與傳統(tǒng)的頸3-7術(shù)式相比并不能減少術(shù)后軸性癥狀的發(fā)生。
[Abstract]:Objective to investigate whether the posterior open-door laminoplasty with preserving the spinous process of cervical 7 and its accessory structure can reduce the incidence of postoperative axial symptoms. Methods from June 2013 to February 2015, 41 patients with multilevel cervical Spondylotic myelopathy underwent open door laminoplasty in our department, including 19 patients in the experimental group and 22 patients in the control group. The operative time of the two groups was recorded. The amount of bleeding, JOA score before and after operation, cervical movement before and after operation, and the incidence of postoperative axial symptoms were compared statistically. Results the follow-up was 12-30 months with an average of 21 months. There was no significant difference in the operation time and bleeding volume between the two groups (P 0.05), and the improvement rate of spinal cord function in the two groups was observed 12 months after operation. There was no significant difference in the incidence of axial symptoms between the cervical 3-7 group and the cervical 3-6 group, and there was no significant difference in the incidence of axial symptoms between the cervical 3-7 group and the cervical 3-6 group. Conclusion Cervical 3-6 laminoplasty with conserving cervical 7 and its accessory structure can not reduce the incidence of axial symptoms compared with the traditional cervical 3-7 procedure.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R687.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前5條

1 程真;陳貴月;郭家斌;王學(xué)軍;;頸椎單開門微型鈦板固定成形術(shù)中不同開門角度對(duì)多節(jié)段脊髓型頸椎病療效的影響[J];山西醫(yī)科大學(xué)學(xué)報(bào);2016年10期

2 李玉偉;嚴(yán)曉云;王海蛟;崔巍;王玉記;溫艷;;保留C_(2、3)棘突肌肉附著點(diǎn)的改良頸椎管擴(kuò)大成形術(shù)[J];中國矯形外科雜志;2016年01期

3 蔡文濤;林明俠;沈?qū)幗?;保留頸7棘突頸椎后路單開門微型鈦板固定成形術(shù)治療多節(jié)段脊髓型頸椎病的效果[J];廣東醫(yī)學(xué);2014年21期

4 衛(wèi)沛然;周建偉;陳曉明;孫術(shù)華;譚榮;鄒德威;崔彥;;C3~C6與C3~C7后路椎板切除術(shù)后療效及軸性疼痛的比較[J];醫(yī)學(xué)研究雜志;2014年10期

5 王輝;丁文元;馬雷;申勇;張英澤;;頸椎術(shù)后軸性癥狀[J];頸腰痛雜志;2014年02期

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