颈椎后路单、双开门椎管扩大成形术在颈椎管狭窄症中的效果对比

Comparison of effect of posterior cervical single and bilateral open-door laminoplasty in cervical spinal canal stenosis

目的探讨颈椎后路单、双开门椎管扩大成形术在颈椎管狭窄症治疗中的应用价值。方法选取2012年1月~2017年1月我院的30例颈椎管狭窄症患者,根据治疗方法的不同分为实验组和对照组,各15例。实验组给予颈椎后路双开门椎管扩大成形术治疗,对照组给予颈椎后路单开门椎管扩大成形术治疗,比较两组的治疗效果。结果两组的JOA评分、手术时间、术中出血量、住院时间比较,差异无统计学意义(P>0.05)。两组的并发症(脑脊液漏、轴性症状、感染、血肿)发生率比较,差异无统计学意义(P>0.05)。结论采用颈椎后路单开门与颈椎后路双开门椎管扩大成形术治疗颈椎管狭窄症均可以取得较好的效果,其各有优缺点,临床在为患者实施治疗时,应根据患者的条件、手术设备条件以及医疗人员的技术水平为患者实施针对性的治疗措施,从而改善颈椎管狭窄症患者预后。

Objective To investigate the value of application of cervical posterior single/bilateral open-door laminoplasty in the treatment of cervical spinal canal stenosis.Methods Altogether 30 patients with cervical spinal canal stenosis from January 2012 to January 2017 in our hospital were selected and divided into the experiment group and the control group according to the different treatment methods.The experiment group was given posterior cervical bilateral open- door laminoplasty,while the control group was given posterior cervical single open-door laminoplasty treatment.The treatment effect of the two groups was compared.Results There was no significant difference in the JOA score,duration of surgery,intraoperative blood loss and hospitalization time between the two groups （P〉0.05）.There was no significant difference in the incidence rate of postoperative complications （eerebrospinal fluid leakage,axial symptoms,infection and hematoma） between the two groups （P〉0.05）.Conclusion Application of posterior cervical single and bilateral open-door laminoplasty in the treatment of patients with cervical spinal canal stenosis can achieve good effect,and which has ad- vantages and disadvantages.Targeted therapies should be used in clinical treatment based on the patients＇ conditions, operation equipment condition and technical level of medical personnel so as to promote the prognosis of patients with cervical spinal canal stenosis.