颈后路全椎板切除减压治疗颈椎脊髓损伤的临床疗效探讨

Clinical Effect of Decompression of Posterior Cervical Laminectomy for Cervical Spinal Cord Injury

目的探讨颈后路全椎板切除减压治疗颈椎脊髓损伤的临床疗效。方法选取2017年4月—2019年3月该院收治的颈椎脊髓损伤患者80例,随机分为两组,每组均为40例,对照组应用颈前路椎体次全切除术对患者实施治疗,研究组采取颈后路全椎板切除减压来对患者实施治疗。结果研究组术后12个月ASIA运动评分(62.7±1.8)分,高于对照组(55.3±1.7)分,两者比较差异有统计学意义(t=11.257,P<0.05),研究组术后12个月ASIA感觉评分(113.2±1.4)分高于对照组(108.3±1.5)分,两者比较差异有统计学意义(t=10.524,P<0.05),研究组术后可以应用胸腹联合呼吸的33例患者多于对照组26例,两者比较,差异有统计学意义(χ^2=4.026,P<0.05)。结论应用颈后路全椎板切除减压对颈椎脊髓损伤患者实施治疗,利于患者运动功能的恢复,治疗后对患者的感觉起到很好的恢复效果,呼吸功能也获得了极大的改善,进一步提高了患者的生活质量,疗效显著。

Objective To investigate the clinical effect of total cervical laminectomy and decompression in the treatment of cervical spinal cord injury.Methods 80 patients with cervical spinal cord injury treated in the hospital from April 2017 to March 2019 were randomly divided into two groups,each with 40 patients.The control group was treated with anterior cervical vertebral body subtotal resection.To implement the treatment,the research group used posterior cervical laminectomy and decompression to treat the patients.Results The ASIA exercise score in the study group at 12 months(62.7±1.8)points was higher than that in the control group(55.3±1.7)points,and the difference was statistically significant(t=11.257,P<0.05).The ASIA in the study group was 12 months after surgery.The sensory score(113.2±1.4)points was higher than that of the control group(108.3±1.5)points,and the difference was statistically significant(t=10.524,P<0.05).The 33 patients in the study group who could use thoracoabdominal breathing after surgery were more than the control group 26 cases,and the difference was statistically significant(χ^2=4.026,P<0.05).Conclusion The application of total cervical laminectomy and decompression to the treatment of patients with cervical spinal cord injury is beneficial to the recovery of motor function.After treatment,it has a good recovery effect on the patient's feeling and respiratory function has been greatly improved,which further improves the quality of life of patients.