颈腰综合征分期手术治疗的效果分析

Staging operation for cervical and lumbal symptom complex

目的探讨分期手术治疗颈腰综合征的临床疗效。方法 39例手术治疗颈腰综合征患者,其中行颈前路手术21例,行颈后路手术9例,行腰后路手术9例。用日本骨科学会（Japanese Orthopaedic Association,JOA）评分和疼痛视觉模拟量表（visual analogue scale,VAS）评分评估患者功能状态和疼痛程度,患者术前JOA评分为11.80±2.81分;VAS为4.70±3.32分。结果所有患者随访2~5年,平均3.5年。术后JOA评分为14.92±2.05分;VAS为3.31±2.37分,与术前相比差异均有统计学意义（P〈0.05）。结论根据患者具体病理特点,分期手术治疗颈腰综合征能够明显改善患者相关功能障碍和腰腿痛症状,避免一期手术引起的不必要手术创伤。

Objective To investigate the clinical curative effect of staging operation for cervical and lumbal symptom complex.Methods A total of 39 cases with cervical and lumbal symptom complex were treated with staging operation,21 cases with anterior approach of cervical operation,9 cases with posterior approach of cervical operation,9 cases with posterior approach of lumbal operation.Functional status and pain degree were evaluated with Japanese Orthopaedic Association（JOA） and visual analog scale（VAS） scores.Preoperative JOA score was 11.80±2.81,and VAS score was 4.70±3.32.Results All cases were followed up for 2-5 years,with a mean period of 3.5 years.Postoperative JOA score was 14.92±2.05,and VAS score was 3.31±2.37.Compared with peroperation,the difference was statistically significant（P0.05）.Conclusion According to the specific pathology characteristic,staging operation can improve functional disturbance and backleg pain symptom of the patients with cervical and lumbal symptom complex,avoiding unnecessary operation wound of onestage operation.