摘要
目的对比分析前路与后路减压手术治疗多节段连续性脊髓型颈椎病的临床效果。方法回顾性性分析100例多节段连续性脊髓型颈椎病患者的临床资料,根据患者手术方式的不同,将患者分为A组(前路减压术治疗)和B组(后路减压式治疗),每组50例,比较两组患者术后JOA评分以及主要手术指标。结果两组患者术前JOA评分比较差异未见统计学意义(P>0.05);术后A组JOA评分情况优于B组,差异有统计学意义(P<0.05);主要手术指标如术中出血量、手术时间、住院时间等两组比较差异未见统计学意义(P>0.05)。结论不同的手术方式治疗多节段连续性脊髓型颈椎病临床效果不同,但是在没有手术禁忌的情况下,颈椎前路减压术的疗效更好。
Objective To compare the effects of anterior and posterior decompression surgery in the treatment of multi-segment continuous cervical spondylotic myelopathy. Methods One hundred patients with multi-segment continuous cervical spondylotic myelopathy were retrospectively analyzed and divided into group A（ anterior decompression group） and group B（ posterior decompression therapy group）according to the different surgical procedures. The JOA scores and the main surgical indexes were compared between the two groups. Results There was no significant difference in JOA score between the two groups（ P 0. 05）. The JOA score of group A was significantly better than that of group B,the difference was significant（ P 0. 05）. There was also no significant difference between the two groups in surgical treatment,such as intraoperative blood loss,operation time and length of stay（ P 0. 05）.Conclusions Different surgical procedures of multi-segment continuous cervical spondylotic myelopathy had different clinical effects,but in the absence of surgical contraindications,cervical anterior decompression has better effect.
出处
《临床医学》
CAS
2017年第12期34-35,共2页
Clinical Medicine
关键词
多阶段连续性脊髓型颈椎病
前路减压术
效果
Multi-segment continuous cervical spondylotic myelopathy
Anterior decompression surgery
Effect
