摘要
目的:了解颈后路微创椎管扩大成形术(CMEL)对颈椎间盘退变的影响。方法:回顾性收集28例CMEL治疗的脊髓型颈椎病患者年龄、性别、病程、随访时长、椎间盘突出类型等信息,通过MRI测量患者术前、术后突出椎间盘的体积,按Odom标准及VAS评分评估患者术后疗效。结果:28例脊髓型颈椎病患者中男性18例,女性10例,年龄20~72(54.5±11.4)岁;病程3~36(10.1±9.9)个月;随访7 d^76个月。共观察到88个椎间盘突出,其中90.9%(80/88)椎间盘突出体积缩小。不同类型椎间盘突出体积缩小比差异无统计学意义(P>0.05)。与术前相比,术后VAS评分明显降低(P<0.05);按Odom标准优良率为89.3%。结论:CMEL可以延缓患者颈椎间盘退变,临床疗效良好。
Aim:To explore the status of cervical disc degeneration after cervical microendoscopic laminoplasty(CMEL).Methods:Twenty-eight patients with cervical disc degeneration accepted CMEL were analyzed.The basic information such as age,gender,course of disease,length of follow-up,and type of disc herniation were collected.The volume and changes of the discs were measured by MRI before and after surgery.The postoperative efficacy of patients was evaluated by Odom standard and visual analog scale(VAS)score.Results:Twenty-eight patients with cervical spondylotic myelopathy were followed up,including 18 males and 10 females,aged 20~72(54.5±11.4)years;the course of disease was 3~36(10.1±9.9)months;the follow-up period was 7 days to 76 months.A total of 88 herniated discs were observed in 28 patients,out of which,80(90.9%)herniations were reduced in volume.There was no significant difference in the reduction of disc degeneration between different types of disc herniation(P>0.05).Compared with before surgery,the VAS score was significantly lower after surgery(P<0.05).According to the Odom,the excellent and good rate was 89.3%.Conclusions:CMEL can delay cervical disc degeneration with good clinical effects and nursing strategy of cervical disc herniation,and achieved good clinical results.
作者
李莹
王永魁
尚利杰
张春霖
LI Ying;WANG Yongkui;SHANG Lijie;ZHANG Chunlin(Department of Orthopedics,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)
出处
《郑州大学学报（医学版）》
CAS
北大核心
2020年第2期278-281,共4页
Journal of Zhengzhou University(Medical Sciences)
基金
国家自然科学基金项目(81802128)。
关键词
颈后路椎管扩大成形
椎间盘退变
脊髓型颈椎病
cervical microendoscopic laminoplasty
intervertebral disc degeneration
influencing factor
