| 颈椎病手术效果不佳原因分析(附46例报告) |
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| 引用本文： | 张佐伦,张进禄,肖子范,于锡欣,周东升,姜礼庆,张伟. 颈椎病手术效果不佳原因分析(附46例报告)[J]. 中国骨与关节损伤杂志, 1994, 0(1) |
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| 作者姓名： | 张佐伦 张进禄 肖子范 于锡欣 周东升 姜礼庆 张伟 |
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| 作者单位： | 山东省立医院骨科 250021 |
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| 摘 要： | 从1978年5月至1992年5月手术治疗颈椎病400例,其中46例（11.5％）手术效果不满意。46例中有22例（47.8％）经再次手术治疗。作者通过手术前后脊髓造影或CT检查分析了各种因素,发现与手术有关（31例67％）为主要因素。提出年龄大、病史长、广泛椎管狭窄、多节段病变常导致脊髓横断面积减少,如有上述两种以上的综合因素,疗效会更差。
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| 关 键 词： | 颈椎病 手术 脊髓造影 CT |
ANALYSIS OF CAUSES FOR POOR OUTCOME IN SURGERY FOR CERVICAL SPONDYLOSIS (ON 46 CASES) |
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| Zhang Zuolun,et al.. ANALYSIS OF CAUSES FOR POOR OUTCOME IN SURGERY FOR CERVICAL SPONDYLOSIS (ON 46 CASES)[J]. Chinese Journal of Bone and Joint Injury, 1994, 0(1) |
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| Authors: | Zhang Zuolun et al. |
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| Affiliation: | Zhang Zuolun,et al. Orthopedic Department of Shandong Provincial Hospital,JiNang 250021. |
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| Abstract: | From May 1978 to May 1991; 400 cases with cervial spondylosis were treated by operation. Of them,46 cases had poor outcome in surgery,among them.22 cases (47.8%) had further operation. The authors analysed the causes of poor outcome in surgery,by pre-and post-operative myelogra-phy or CT. Of all the causes, operative factors (67%)are the commonest. Old age, long history .diffuse spinal canal stenosis and multiplicity of involvement may reduce the transverse area of the cord.The result of surgery was worse in patient with more than one factor. |
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| Keywords: | Cervical spondyiosis Operation Myelography CT |
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