颈椎后路双开、单开术式治疗颈髓压迫症(附24例报告)

TREATMENT OF CERVICAL CORD PRESSURE SYMPTOM BY POSTERIOR ONE-SIDED AND DOUBLE-SIDED OPERATION ON CERVICAL VERTEBRA (Enclosed: 24 Cases)

本文对1989年－1994年采用颈椎后路椎管扩大术治疗颈髓压迫症进行了经验总结。作者认为，颈髓压迫症，采用颈椎后路双开式、单开式椎管扩大术，双开式：椎弓裂口平均开大13－16mm，单开式：椎弓裂口平均开大12mm，脊髓减压充分，并且为一些椎管内病变如脊髓肿瘤的摘除提供了一定手术范围。作者提出X定标测量颈椎管矢状径，方法简单易行，颈椎CTM扫描能较准确地判断椎管内脊髓受压的部位及程度，肌电图检查能进一步确定脊神经受累的水平。

This paper summarizes the experiences in treating cervical cord pressure symptoms by way of expending the pasterior splinal tubes frorn 1989 to 1994. The authors think that cervical cord pressure symptoms should be tredted by one-side and double-sided expansion of posterior spinal tubes. The crack of vertebral arch is on average 13 - 16mm in one - sided expansion, An adequate decompression of medullispinal decompression lraves room for operating on the removal of such pathological changes as rnedalli - Spinal tumours within the spinal tubes. The authers proposded an X scale mes uring the sagittal diameters of the spinal tube. Which is easily performed,The CTM scanning of cervical vertebra can exactly exhibit the decompressed portions and degreesof spinal cord in cervical marrow. The electromyography checkup can further identity the levels of repressed splinai nerves.