摘要
目的 观察Ⅰ期手术减压治疗颈腰椎并发的椎管狭窄症的疗效及其安全性。方法 回顾22例Ⅰ期手术减压治疗颈、腰椎并发的椎管狭窄症的临床资料及围手术期并发症,平均年龄（68.7±9.3）岁（55-83岁）,随访24-58个月,记录手术时间、出血量、住院时间;术前、术后1月和随访末期JOA评分（颈椎17分法、腰椎29分法）及其改善率;患者满意度;并分析围手术期并发症。结果 平均手术时间、失血量、住院时间分别是（189±49）min、（490±70）ml、15.9 d;随访末期JOA改善率分别达到67.9%（C-JOA）、63.5%（L-JOA）,较术前显著改善（P〈0.05）,病人满意度73.9%;围手术期并发症发生率18.1%,包括急性失血、脑脊液漏、深部感染、短暂性神经损害各1例。结论 Ⅰ期手术减压治疗颈腰椎并发的椎管狭窄症疗效满意;围手术期并发症并未因此增加,但应严格手术指征。
Objective To evaluate clinical outcomes and safety of one-staged combined cervical and lumbar decompression for patients with tandem spinal stenosis. Methods Clinical outcomes and perioperative complications were reviewed in 22 patients who underwent one-staged combined cervical and lumbar decompression retrospectively. The mean age was （68.7 ± 9.3） years（55 ± 83 years）.The follow-up period ranged from 24 to 58 months. The JOA score and its recovery rate （cervical- 17 points, lumbar-29 points） were recorded before operation, 1 month after surgery, and at the final follow-up. Results The mean surgical duration, blood loss, and hospitalization length were （189±49） min、 （490±70） ml, 15.9 days respectively. The JOA recovery rate were 67.9% for cervical and 63.5% for lumbar at the final follow-up. The improvement degree of JOA scores was significant compared with that of pre-operation. The overall complication incidence were 18.1%, which included acute blood loss anemia 1 case, cerebrospinal fluid leakage 1 case, deep infection 1 case, Transient neurological deficiency 1 case. Conclusions One-staged combined cervical and lumbar decompression for TSS can deliver fair results. It is a safe and effective method for this condition.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2015年第4期468-471,共4页
Chinese Journal of Clinical Anatomy
关键词
Ⅰ期减压
颈椎
腰椎
并发椎管狭窄症
One-stage decompression
Cervical
Lumbar
Tandem spinal stenosis
