摘要
目的探讨放大镜下颈椎椎体次全切除术治疗脊髓型颈椎病的疗效。方法选取88例脊髓型颈椎病患者,按照随机数字表的方法分为观察组和对照组,各44例。对照组患者进行常规开放颈椎椎体次全切除术治疗,观察组进行放大镜下颈椎椎体次全切除术治疗,比较两组患者的手术时间、术中出血量、住院时间、住院费用、神经功能JOA评分改善情况、并发症发生情况及MRI复查情况。结果观察组患者的手术时间、术中出血量、并发症发生率均低于对照组(P<0.05),随访时JOA评分及JOA改善率均高于对照组(P<0.05);两组的住院时间及住院费用的差异无显著性(P>0.05)。两组患者术后的椎管最狭窄处面积及脊髓最狭窄处面积均显著高于术前(P<0.05),术后观察组上述指标值均高于对照组(P<0.05),差异均具有统计学意义。结论放大镜下颈椎椎体次全切除术治疗脊髓型颈椎病,能有效缩短手术时间,减少术中出血量,能显著改善患者的神经功能,临床疗效显著,值得推广应用。
Objective To explore the clinical effect of cervical subtotal vertebrectomy under loupes for the treatment of cervical myelopathy. Methods To select 88 patients with cervical myelopathy. All the 88 patients were divided into the observation group and the control group,each group has 44 cases. Traditional cervical subtotal vertebrectomy was used to treat patients in the control group,cervical subtotal vertebrectomy under loupes was used in the research group. To compare the operation time,blood loss during the operation,hospitalization time,hospitalization expenses,JOA score and JOA recovery rate,complications condition and MRI review condition of the two groups. Results The operation time,blood loss during the operation,and complication incidence rate of the observation group were lower than the control group( P〈0. 05),while JOA and JOA recovery rate of the observation group were higher than the control group( P〈0. 05). No statistically significant differences were identified in hospitalization time and expenses( P〉0. 05). After the operation,the narrowest area of spinal canal and spinal cord of the two groups were higher than before the operation( P〈0. 05),and the above indicators of the observation group were higher than the control group(P〈0. 05),all the difference above were statistically significant. Conclusion The cervical subtotal vertebrectomy under loupes can be used to treat the cervical myelopathy. This method can shorten the operation time effectively,reduce the blood loss during the operation,can improve patient's neurologic significantly,the clinical curative effect was significant,it was worthy of popularization and application.
出处
《临床和实验医学杂志》
2016年第5期469-471,共3页
Journal of Clinical and Experimental Medicine