【摘要】：目的比較擇期和急診行寰樞椎節(jié)段椎管內(nèi)占位性病變手術(shù)的療效。方法選取2010年5月至2015年4月在該院接受治療的寰樞椎節(jié)段椎管內(nèi)占位性病變患者32例,將患者分為急診手術(shù)組(A組)14例和擇期手術(shù)組(B組)18例。比較兩組患者手術(shù)時(shí)間、術(shù)中出血量、JOA評(píng)分、ODI指數(shù)及VAS評(píng)分、術(shù)后影像學(xué)(MRI)改變情況和兩組患者對(duì)療效的滿意度。結(jié)果術(shù)后A組患者的JOA評(píng)分[(25.23±4.47)分]高于B組[(22.10±3.56)分],差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者的ODI指數(shù)及VAS評(píng)分都有所下降,ODI指數(shù)A組(18.56±3.10)分,B組(21.56±4.37)分、VAS評(píng)分A組(1.89±0.53)分,B組(3.16±0.89)分,兩組ODI指數(shù)比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);兩組VAS評(píng)分比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者術(shù)前及術(shù)后1個(gè)月時(shí)脊髓功能分級(jí)(Frankel分級(jí))比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。A組手術(shù)時(shí)間[(120.23±9.02)min]與B組[(126.25±12.12)min]相比差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);A組患者的術(shù)中出血量[(211.26±12.25)mL]與B組[(220.43±17.58)mL]相比差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。治療后1個(gè)月A組患者的滿意度(92.56%)高于B組患者(72.22%),差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論急診行寰樞椎節(jié)段椎管內(nèi)占位性病變手術(shù),能有效提高治療效果,并且治療后患者的滿意度比較高,值得推廣使用。
[Abstract]:Objective to compare the effect of selective and emergency operation for atlantoaxial segment intraspinal space occupying lesions. Methods from May 2010 to April 2015, 32 patients with atlantoaxial intraspinal space occupying lesions were selected and divided into emergency operation group (group A, n = 14) and elective operation group (group B, n = 18). The operative time, intraoperative bleeding volume, JOA score, ODI index and VAS score, the changes of imaging (MRI) and the satisfaction of the two groups were compared. Results the JOA score of group A [(25.23 鹵4.47)] was significantly higher than that of group B [(22.10 鹵3.56)] (P0.05). The ODI index and VAS score of two groups were decreased, ODI index group A (18.56 鹵3.10), group B (21.56 鹵4.37), VAS score A (1.89 鹵0.53), group B (3.16 鹵0.89), group A (1.89 鹵0.53), group B (3.16 鹵0.89). The difference of ODI index between the two groups was statistically significant (P0.05). There was significant difference in VAS score between the two groups (P0.05). The spinal cord function grading (Frankel) was compared between the two groups before operation and 1 month after operation. There was no significant difference between the two groups (P0.05). A group [(120.23 鹵9.02) min] and B group [(126.25 鹵12.12) min] (P0.05); The amount of intraoperative bleeding in group A [(211.26 鹵12.25) mL] was not significantly different from that in group B [(220.43 鹵17.58) mL] (P0.05). One month after treatment, the satisfaction of group A (92.56%) was higher than that of group B (72.22%), the difference was statistically significant (P0.05). Conclusion the emergency operation of atlantoaxial segment intraspinal space occupying lesion can effectively improve the therapeutic effect, and the satisfaction of the patients after treatment is relatively high, which is worth popularizing.
【作者單位】： 遵義醫(yī)學(xué)院附屬醫(yī)院脊柱外科;
【分類號(hào)】：R687.3

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