《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (05): 470-471.

• 临床研究 • 上一篇    下一篇

颈前路显微镜下手术治疗脊髓型颈椎病64例

张山1;祁红辉2;刘吉祥1;任洪波1   

  1. 1. 河北省邯郸市中心医院神经外科，河北邯郸市 056002;2. 河北省邯郸市第一医院急诊科，河北邯郸市 056002
  • 收稿日期:2008-11-27 出版日期:2009-05-01 发布日期:2009-05-01

Anterior Cervical Decompression under Microscope for Cervical Spondylotic Myelopathy: 64 Case Report

ZHANG Shan, QI Hong-hui, LIU Ji-xiang, et al   

  1. Department of Neurosurgery, the Center Hospital of Handan City, Handan 056002, Hebei, China
  • Received:2008-11-27 Published:2009-05-01 Online:2009-05-01

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被引次数

6

摘要： 目的 观察颈前路显微镜下减压及椎间植骨融合颈前路钛钢板内固定术治疗脊髓型颈椎病的疗效。方法 对64例患者采用前路显微镜下手术减压及椎间植骨融合颈前路钛钢板内固定术，术前和术后分别进行日本整形外科学会（JOA）评分标准评价，术前及术后6个月进行影像学评价，并观察临床疗效。结果 JOA评分由术前(9.1±2.4)分上升至术后(13.5±3.1)分，影像学及临床评价均有改善。结论 颈前路显微镜下手术减压治疗脊髓型颈椎病效果肯定。

关键词: 脊髓型颈椎病, 减压术, 显微手术

Abstract: Objective To investigate the effects of anterior cervical decompression and implanting bone fusion with plate internal fixation under microscope on cervical spondylotic myelopathy. Methods 64 patients were performed anterior cervical decompression and implanting bone fusion with plate internal fixation under microscope. They were assessed with the assessment of Japanese Orthopedic Association (JOA), imageologic and clinical finding 6 months after operation. Results The score of JOA improved from (9.1±2.4) pre-operation to (13.5±3.1) post-operation. Imageologic and clinical features showed satisfactory outcome. Conclusion Most patients with cervical spondylotic myelopathy can achieve satisfied prognosis by decompression through anterior approach; microsurgery.

Key words: cervical spondylotic myelopathy, decompression, microsurgery