摘要
背景:目前,保留C_7棘突及肌止对C_(2,7)椎板进行潜行减压的改良颈椎管扩大成形,能够将减压和保留稳定结构两方面兼顾,配合早期颈部肌肉等长收缩训练,能够增强颈椎的动力和静力平衡能力,维持颈椎的稳定性。目的:观察脊髓型颈椎病患者采用改良术式行颈椎管扩大成形结合颈部肌肉等长收缩训练的临床效果。方法:将脊髓型颈椎病患者114例分别实施传统椎管扩大成形(对照组)、改良椎管扩大成形(改良组)、改良椎管扩大成形后颈部肌肉等长收缩训练(联合组)干预,随访24个月。结果与结论:(1)颈椎日本骨科协会评分、颈椎功能障碍指数评分和轴性症状的发生情况:各组患者术后6,12,24个月同期颈椎日本骨科协会评分相比差异无显著性意义,改良组患者术后6,12,24个月同期颈椎功能障碍指数评分和轴性症状构成比均优于其他2组(P<0.05);(2)结果说明:改良术式结合颈部肌等长收缩肉训练在治疗脊髓型颈椎病临床效果较好。
BACKGROUND： Currently, modified laminoplasty with C_7 spinous process and muscle attachment points reserved and C_2, C_7 decompressive laminectomy can reconcile both full decompression and structure stability. With early isometric neck muscle exercise, it can enhance cervical dynamic and static force balance and maintain the stability of the cervical spine.OBJECTIVE： To investigate the clinical effects of modified cervical laminoplasty with postoperative isometric neck muscle exercise on cervical spondylotic myelopathy patients. METHODS： 114 patients with cervical myelopathy were separately performed traditional cervical laminoplasty（control group）, modified cervical laminoplasty（modified group）, modified cervical laminoplasty, and neck muscle isometric exercise（combined group）. Follow-up was conducted for 24 months. RESULTS AND CONCLUSION：（1） Cervical Japanese Orthopaedic Association score, cervical Neck Disabilitv Index scores and the incidence of axial symptoms： There was no significant difference in the Japanese Orthopaedic Association score of three groups at 6, 12 and 24 months after surgery. At 6, 12 and 24 months after surgery, Neck Disability Index scores and constituent ratio of axial symptoms were better in the modified group than the other groups（P〈0.05）.（2） Results show that modified cervical laminoplasty with isometric neck muscle exercise can get better clinical results in the treatment of cervical myelopathy.
出处
《中国组织工程研究》
CAS
北大核心
2016年第37期5545-5551,共7页
Chinese Journal of Tissue Engineering Research
