引用本文:杨玉强,全晓丽,王刘玉.多节段脊髓型颈椎病行微型钛板改良单开门颈椎管扩大椎板成形术的效果观察[J].中国临床新医学,2020,13(8):815-817.
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多节段脊髓型颈椎病行微型钛板改良单开门颈椎管扩大椎板成形术的效果观察
杨玉强,全晓丽,王刘玉
473000 河南,南阳市第二人民医院骨科
摘要:
[摘要] 目的 观察多节段脊髓型颈椎病(multi-segmental cervical spondylotic myelopathy,MCSM)行微型钛板改良单开门颈椎管扩大椎板成形术的效果。方法 选择该院骨科2016-08~2018-09收治的82例MCSM患者为研究对象,按照随机数字表法分为观察组43例和对照组39例。观察组给予微型钛板改良单开门颈椎管扩大椎板成形术,对照组给予常规的颈后路单开门椎管扩大成形术。比较两组手术时间、术后首次康复训练时间、术中出血量、术后引流量、治疗有效率及术后并发症。结果 观察组术后首次康复训练时间显著短于对照组(P<0.01)。观察组显效33例,有效9例,无效1例;对照组显效19例,有效14例,无效6例;观察组疗效优于对照组(P<0.05)。观察组术后并发症发生率显著低于对照组(P<0.05)。结论 微型钛板改良单开门颈椎管扩大椎板成形术对MCSM患者疗效好,并发症少,预后佳,可以在临床手术治疗中应用推广。
关键词:  多节段脊髓型颈椎病  微型钛板改良单开门颈椎管扩大椎板成形术  临床效果
DOI:10.3969/j.issn.1674-3806.2020.08.19
分类号:R 816.8
基金项目:
Clinical effect of micro-titanium plate modified single-door cervical spinal canal enlargement laminoplasty on multi-segmental cervical spondylotic myelopathy
YANG Yu-qiang, QUAN Xiao-li, WANG Liu-yu
Department of Orthopedics, Nanyang Second General Hospital, Henan 473000, China
Abstract:
[Abstract] Objective To observe the clinical effect of micro-titanium plate modified single-door cervical spinal canal enlargement laminoplasty on multi-segmental cervical spondylotic myelopathy(MCSM). Methods Eighty-two MCSM patients admitted to the Department of Orthopedics of Nanyang Second General Hospital from August 2016 to September 2018 were enrolled in this study. The patients were divided into observation group(n=43) and control group(n=39) by random number table method. The observation group was treated with micro-titanium plate modified single-door cervical spinal canal enlargement laminoplasty, and the control group received a conventional single open-door laminoplasty through posterior approach. The operation time, the first postoperative rehabilitation training time, the intraoperative blood loss, the postoperative drainage volume, the treatment efficiency and postoperative complications were compared between the two groups. Results The first postoperative rehabilitation training time of the observation group was significantly shorter than that of the control group(P<0.01). In the observation group, 33 cases were markedly effective, 9 cases effective and 1 case ineffective. In the control group, 19 cases were markedly effective, 14 cases effective and 6 cases ineffective. The clinical effect of the observation group was better than that of the control group(P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05). Conclusion Micro-titanium plate modified single-door cervical spinal canal enlargement laminoplasty has good curative effect, less complications and good prognosis in MCSM patients, and can be widely applied in the clinical surgical treatment.
Key words:  Multi-segmental cervical spondylotic myelopathy(MCSM)  Micro-titanium plate modified single-door cervical spinal canal enlargement laminoplasty  Clinical effect