摘要
目的:研究对比颈椎前路减压融合术与后路椎管扩大成形术治疗多节段脊髓型颈椎病的效果及对术后脊髓功能的影响。方法:于2017年1月—2020年5月,将六盘水市人民医院行颈椎前路减压融合术的40例多节段脊髓型颈椎病患者与行后路椎管扩大成形术的40例多节段脊髓型颈椎病患者纳入研究,分别设置为观察组、对照组。比较两组手术时间、术中出血量、住院时间,并于手术后6个月评估两组总有效率,于手术前、手术后6个月比较两组颈椎前屈活动度、脊髓功能评分、颈椎疼痛评分、生活质量评分。结果:两组手术时间、术中出血量比较,差异均无统计学意义(P>0.05),但观察组住院时间短于对照组,差异有统计学意义(P<0.05)。手术后6个月,观察组的总有效率为95.00%,高于对照组80.00%,差异有统计学意义(P<0.05)。手术后6个月,观察组的颈椎前屈活动度、脊髓功能评分及生活质量评分均高于对照组,颈椎疼痛评分低于对照组,差异均有统计学意义(P<0.05)。结论:在多节段脊髓型颈椎病治疗中,相比于后路椎管扩大成形术,颈椎前路减压融合术可缩短患者住院时间,提高手术疗效,更好地改善患者颈椎活动度和脊髓功能,减轻颈椎疼痛感,有利于提升患者生活质量。
Objective:To study and compare the curative effect of anterior cervical decompression and fusion and posterior expanded spinal canal plasty in the treatment of multilevel cervical spondylotic myelopathy and the effect on postoperative spinal cord function.Method:From January 2017 to May 2020,40 patients with multilevel cervical spondylotic myelopathy who underwent anterior cervical decompression and fusion in Liupanshui People's Hospital and 40 patients with multilevel cervical spondylotic myelopathy who underwent posterior expansive spinal canal plasty were included in the study,and they were set as the observation group and the control group,respectively.The surgical time,intraoperative bleeding and hospital stay were compared between the two groups,and the total effective rate of the two groups at 6 months after surgery were evaluated.The cervical flexion range of motion,spinal cord function score,cervical pain score,and quality of life score were compared between the two groups before and 6 months after surgery.Result:The differences in surgical time and intraoperative bleeding between the two groups were not statistically significant(P>0.05),but the hospitalization time of the observation group was shorter than that of the control group,with a statistically significant difference(P<0.05).Six months after surgery,the total effective rate of the observation group was 95.00%,which was higher than 80.00%of the control group,the difference was statistically significant(P<0.05).Six months after surgery,the observation group had higher cervical flexion activity,spinal cord function score,and quality of life score than those of the control group,while the cervical pain score was lower than that of the control group,with statistically significant differences(P<0.05).Conclusion:In the treatment of multilevel cervical spondylotic myelopathy,compared with posterior expansive spinal canal plasty,anterior cervical decompression and fusion can shorten the length of hospital stay,improve the surgical efficacy,better improve the range of motion and spinal cord function of patients,reduce cervical pain,and improve the quality of life of patients.
作者
曾佳学
柯添耀
何秋林
ZENG Jiaxue;KE Tianyao;HE Qiulin(Liupanshui People's Hospital,Guizhou Province,Liupanshui 553000,China)
出处
《中国医学创新》
CAS
2023年第19期20-23,共4页
Medical Innovation of China
关键词
多节段脊髓型颈椎病
颈椎前路减压融合术
后路椎管扩大成形术
脊髓功能
Multi-level cervical spondylotic myelopathy
Anterior cervical decompression and fusion Posterior expanded laminoplasty
Spinal cord function
