摘要
从1978年5月至1992年5月手术治疗颈椎病400例,其中46例（11.5％）手术效果不满意。46例中有22例（47.8％）经再次手术治疗。作者通过手术前后脊髓造影或CT检查分析了各种因素,发现与手术有关（31例67％）为主要因素。提出年龄大、病史长、广泛椎管狭窄、多节段病变常导致脊髓横断面积减少,如有上述两种以上的综合因素,疗效会更差。
From May 1978 to May 1991; 400 cases with cervial spondylosis were treated by operation. Of them,46 cases had poor outcome in surgery,among them.22 cases (47.8%) had further operation. The authors analysed the causes of poor outcome in surgery,by pre-and post-operative myelogra-phy or CT. Of all the causes, operative factors (67%)are the commonest. Old age, long history .diffuse spinal canal stenosis and multiplicity of involvement may reduce the transverse area of the cord.The result of surgery was worse in patient with more than one factor.
出处
《骨与关节损伤杂志》
1994年第1期7-9,共3页
The Journal of Bone and Joint Injury
关键词
颈椎病
脊髓造影
CT
外科手术
Cervical spondyiosis
Operation
Myelography
CT
