前后路手术治疗多节段脊髓型颈椎病的临床效果观察

Clinical effect of anterior and posterior approach in the treatment of multisegmental cervical spondylotic myelopathy

目的:本文将对前后路手术治疗多节段脊髓型颈椎病的临床效果进行观察。方法:将87例多节段脊髓型颈椎病患者作为试验研究对象,将其随机分为对照组与观察组。对照组患者实施后路手术治疗,观察组患者实施前路手术治疗,对比两组患者临床治疗效果。结果:术前,两组患者JOA评分差异无统计学意义(P>0.05),术后,观察组患者JOA评分高于对照组,并且恢复程度远优于对照组;术前,两组患者硬脊膜囊矢状径差异无统计学意义(P>0.05);术后,观察组患者硬脊膜囊矢状径及腹胀恢复程度明显优于对照组,差异有统计学意义(P<0.05)。结论:临床在对多节段脊髓型颈椎病患者进行治疗过程中,实施前后路手术治疗,两者均能有效改善患者病情。但是,后路扩大半椎板切除减压植骨融合内固定术效果更加显著,临床治疗效果亦显著,可提高患者生活质量,值得临床进一步推广。

Objective This paper will observe the clinical effect of anterior and posterior surgical treatment of multiple segmental cervical spondylotic myelopathy. Method 87 cases of patients with multistage cervical spondylotic myelopathy were selected as the research object,they were randomly divided into control group and observation group. The patients in the control group were treated with posterior surgery,and the patients in the observation group were treated with the anterior approach,and the clinical outcomes were compared between the two groups. Results Before the operation,there was no significant difference in JOA score between the two groups（P〈0. 05）. After surgery,JOA score was higher in the observation group than in the control group,and the recovery was much better than that of the control group. Before the operation,there was no significant difference between the two groups of patients with dural sac diameter（P〈0. 05）. After the operation,the patients were significantly better than the control group,with significant difference between the two groups（P〈0. 05）. Conclusion In clinical treatment of multiple segmental spondylotic myelopathy in the process of implementation of anterior decompression and bone internal fixation surgery,clinical treatment effect significantly,can effectively improve the patients,improve patient quality of life,is worth further promotion in the clinical practice.