颈前路显微外科手术治疗骨髓型颈椎病的临床研究

Clinical research of microsurgical in treatment of bone marrow anterior cervical disease

目的探讨颈前入路显微外科手术治疗骨髓型颈椎病的临床疗效。方法 2009年1月至2011年7月收治的骨髓型颈椎病患者50例,C臂X线机定位下行显微手术治疗。结果术后经6个月随访评价疗效,50例患者神经功能均有不同程度的改善。其中I级31例,Ⅱ级10例、III级6例、Ⅳ级3例。按Odom标准评定临床疗效,优11例,良35例,可4例,优良率92.0%。经6个月至3年随访,影像学检查全部病例植骨融合良好,钛板及螺钉固定良好,无食道及喉返神经损伤,无移植骨块移位、感染等并发症的发生。结论颈前入路显微手术治疗颈椎病,手术创伤小,术后恢复快,手术成功率高,且手术并发症少等优点。

Objective To investigate the clinical efficacy of micro -surgery anterior approach cer- vical bone marrow treatment. Methods The hospital from January 2009 to July 2011 were treated bone marrow cervical spondylosis 50 cases, C - arm X - ray machine positioned downstream micro - surgery. Results After 6 months follow - up evaluation after treatment, 50 patients with varying degrees of neu- rological improvement. 31 cases in which Class I, ]1 10 cases, III 6 cases, IV grade 3 cases. Assessed by standard clinical Odom, excellent in 11 cases, good in 35 cases, 4 cases. Excellent rate of 92. 0%. Af- ter 6 months to 3 years follow -up imaging in all cases gus and recurrent laryngeal nerve injury, no bone graft a good fusion, plate and screws well, no esopha- displacement, infection and other complications. Conclusions The anterior approach for microsurgical treatment of cervical disease, surgical trauma, postoperative recovery, the surgery success rate, and the advantages of fewer complications.