摘要
目的:探讨多节段脊髓型颈椎病的手术治疗对其功能改善的作用。方法:对13例多节段脊髓型颈椎病行扩大半椎板切除术,切除4～5.5节椎板,平均4.6个节段。病变节段:连续4个节段7例,非连续4个节段5例,连续5个节段1例。结果:除1例术后3d出现症状反复,余均恢复满意。13例术前JOA评分3～12分,平均7.2分,术后2周JOA评分10～17分,平均15.6分,平均改善率75.8%。优11例,良2例。术后3个月JOA评分14～17分,平均改善率81.2%,全部评定为优。结论:扩大半椎板切除减压术适合于选择合理的多节段脊髓型颈椎病患者,其术后功能改善良好。
AIM:To investigate the effect of operation treatment of multisegment cervical spondylotic myelopathy(CSM) for improving the function. METHODS:Thirteen cases of multisegmental CSM underwent expansive hemilaminectomy for 4-5.5 levels, and the mean level was 4.6 segments. Pathological changes segments: seven cases were involved in four continued levels, 5 cases were involved in four uncontinued levels,1 case was involved in five continued levels. RESULTS:All the patients had a good recovery except one. The preoperative JOA score ranged from 3 to 12 points in 13 cases, with an average of 7.2. The postoperative JOA score ranged from 10 to 17 points two weeks later, with an average of 15.6.The mean recovery rate was 75.8%.Eleven cases were excellent and 2 cases were fine.Three months after operation, the JOA score ranged from 14 to 17 points, average recovery rate was 81.2%and all the patients were excellent. CONCLUSION:Expensive laminectomy for decompression fits for the reasonable selected multisegment CSM, and the postoperation function of improvement is excellent.
出处
《中国临床康复》
CSCD
2004年第17期3236-3237,共2页
Chinese Journal of Clinical Rehabilitation
