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手术治疗脊髓型颈椎病的长期疗效评价
引用本文:贾连顺,徐印坎.手术治疗脊髓型颈椎病的长期疗效评价[J].中国矫形外科杂志,2001,8(8):735-737.
作者姓名:贾连顺  徐印坎
作者单位:第二军医大学长征医院骨科,上海,200003
摘    要:目的:研究脊髓型颈椎病经手术治疗远期疗效及影响疗效因素。材料与方法:报告115例脊髓型颈椎病,对发病因素、病程及影像学表现特征作了分析。全部实施颈前路减压及自体髂骨移植融合,其中16例于术后6个月-2年再次手术。术后随访8年6个月-18年,平均10年4个月。结果:功能评价:优47例(40.87%),良33例(28.69%),可12例(10.43%)及差23例(20%)。根据40分评分法,平均提高7.5分,其中36-40分41例,31-36分37例。病程在6个月内,优于1年以上(P<0.01)。结论:脊髓型颈椎病手术治疗远期效果是肯定的;手术减压时机、病理变化程度及手术技术等对治疗效果有明显影响。

关 键 词:颈椎病  脊髓病  治疗  远期疗效  外科手术
文章编号:1005-8478(2001)08-0735-03
修稿时间:2001年5月8日

Long-Term Results of Surgical Treatment on Cervical Spondylotic Myelopathy
JIA Lian shun,XU Yin kan.Long-Term Results of Surgical Treatment on Cervical Spondylotic Myelopathy[J].The Orthopedic Journal of China,2001,8(8):735-737.
Authors:JIA Lian shun  XU Yin kan
Institution:JIA Lian shun,XU Yin kan.Department of Orthopedics,Changzheng Hospital,The Second Military Medical University,Shanghai 200003
Abstract:Objective:To Study on long term results and relating factors of surgical treatment on cervical spondylotic myelopathy(CSM).Method:115 cases of CSM are reported.Their pathogenesis,history and characteristics on imaging are analyzed.All cases are treated with anterior cervical decompression and autogenous iliac bone graft fusion.28 cases were reoperated 6 months to 2 years after operation.All cases were followed up within the time between 8.5 years and 18 years,with a mean time of 10 years and 6 months.Result:Function evaluation:excellent 47 case(40.87%),good 33 cases(28.69%),fair 12 cases(10.43%)and bad 23 cases (20%).According to 40 points score method,7.5 points are improved on average.Among them,41 cases are between 36 to 40 points.37 cases are between 31 to 36 points.Those with duration less than 6 months have better results than that of more than 1 year( P <0.01).Conclusion:The long term results of surgical treatment on CSM are definite.The timing of operation,degree of pathology and techniques of surgery influence the treatment results greatly.
Keywords:Cervical spondylotic  Myelopathy  Surgical treatment  Long  term results
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