摘要
目的探讨影响脊髓型颈椎病(CSM)术后功能恢复的相关因素。方法将2016年1月—2017年12月术后随访12~24个月的71名CSM患者的性别、年龄、术前病程、手术时长、MRI影像表现等可能影响术后功能改善的因素与术后JOA改善率作相关分析。结果71例CSM患者术后JOA评分增加。JOA改善率和病患性别、年龄、手术时长等存在相关性,而与术前病程、MRI影像中脊髓受压狭窄程度、T2WI上高信号无明显相关性。结论男性、高龄、手术时间长预示CSM术后功能改善较少。
Objective To investigate the relative factors of postoperative functional recovery of cervical spondylotic myelopathy(CSM).Methods The gender, age, course of the disease, duration of operation, preoperative MRI imaging performance and some other factors that might affect postoperative functional improvement were analyzed together with the postoperative JOA improvement rate in 71 CSM patients who were followed up for 12 to 24 months from January 2016 to December 2017.Results JOA score was increased in 71 CSM patients. JOA improvement rate was correlated with gender, age and duration of operation, but with no preoperative course of disease, degree of spinal compression in MRI images, or increased signal intensity on T2 WI.Conclusion Male, old age and long-time surgical operation indicate less improvement of function after CSM.
作者
姚舜
许立惟
周治来
徐汪洋
张辉
YAO Shun;XU Liwei;ZHOU Zhilai;XU Wangyang;ZHANG Hui(Guangdong Second Provincial General Hospital,Guangzhou 510317,China;不详)
出处
《现代医院》
2021年第5期810-814,共5页
Modern Hospitals
基金
广东省自然科学基金面上项目(2016A030313627)。
关键词
脊髓型颈椎病
JOA评分
MRI
高信号
Cervical spondylotic myelopathy
JOA
MRI
Increased signal intensity
