前路减压植骨内固定治疗脊髓型颈椎病的临床分析

Clinical analysis of anterior cervical decompression and autograft fusion for treating cervical spondylotic myelopathy

目的探讨前路手术治疗脊髓型颈椎病的临床疗效。方法选取2006年1月-2009年12月收治于我院的46例脊髓型颈椎病患者,对其采取前路手术治疗,观察其临床疗效。以及根据病程的长短来分析影响手术疗效的因素。结果 46例患者经过治疗后,优为25例,良为12例,可为8例,差为1例,总有效率为97.8%,优良率为80.4%,手术效果显著,患者在6个月内手术,术后的JOA评分优良率优于6个月以上的,故病程的长短影响了手术的疗效(P<0.05)。结论脊髓型颈椎病易尽早手术,且前路的治疗具有操作简单、安全、疗效好等优点,为治疗脊髓型颈椎病的有效手术方式,值得临床推广应用。

Objective To evaluate the effect of operative treatment for patients with cervical spondylotic myelopathy.Methods The clinical data of 46 patients with cervical spondylotic myelopathy of 2006.1-2009.12 treated by anterior approach were reviewed and analyzed,And according to the length of course to analyze the factors affecting surgery.Results The effect of 46 cases operation：25 cases were excellent,12 cases were good,8 cases were passed and 1 cases were bad.The total effective rate was 97.8% and the excellent and good rate was 80.4%,significant effect of surgery,Patients within 6 months after surgery the good rate of JOA score is better than 6 months or more,so the length of course affected the outcome of surgery（P 0.05）.Conclusion CSM easy to surgery as soon as possible,Anterior approach is a operating simply,safe and effective method for patients with cervical spondylotic myelopathy.It＇s worth to spread application.