脊髓型颈椎病手术时机的选择

The Option of Operation Timing for Myeloid Form Cervical Spondylopathy

采用殷华符评分标准,对84例“经后路脊髓前外侧减压术”患者的术前病程和术后评分之间的关系进行统计学分析,我们发现病程在一年之内施行手术者,术后达到“基本实现日常生活”者平均为90.7％;而术前病程超过一年者,术后“基本实现日常生活”平均为31.6％(P<0.01)。术前病程在一年之内与一年以上相比术后优良率有极显著差异。我们认为:脊髓型颈椎病应尽早手术,以不超过一年为宜。

Eighty - four cases with anterolateral decompression operation on the spine cord through posterior approach were analysed by statistics of the relation between the course of disease preoperation and the assessment postoperation. We found that the patients operated within 1 year from disease were able to carry out basic daily life. These averaged 90.7% . Yet those the course of disease preoperation exceed 1 year, the average was 31.6%. The two were very significant difference (P<0.01). We believe that the cervical spondylopathy should be operated on as soon as possible, better within 1 year.