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前路与后路手术治疗发育性颈椎管狭窄合并椎间盘突出症的效果
引用本文:王葵光,陈晓亮,胡有谷,郑英刚.前路与后路手术治疗发育性颈椎管狭窄合并椎间盘突出症的效果[J].齐鲁医学杂志,1998(4).
作者姓名:王葵光  陈晓亮  胡有谷  郑英刚
作者单位:青岛医学院附属医院骨科!青岛266003
摘    要:1目的 通过量化计分 ,比较前路和后路手术治疗发育性颈椎管狭窄合并椎间盘突出症的近、远期疗效。 2方法 应用前路颈椎间盘切除植骨融合术 (ACDF)及后路颈椎单开门椎管扩大成形术 (PCEML) ,治疗发育性颈椎管狭窄合并颈椎间盘突出症各 12例 ,于术前 1d,术后 14,90 d及 2年进行了随访 ,对脊髓功能进行量化计分 ,并加以比较。 3结果 前路与后路手术术后 14,90 d及 2年的平均感觉障碍分值、肌力障碍分值及体征分值均逐渐下降 ,改善率相应逐渐增高 ,前路手术术后 14,90 d及 2年对感觉异常的改善率均高于后路手术 ;对肌力障碍的改善率除术后 90 d差别无显著性外 ,其他高于后路手术 ;前路与后路手术术后 14,90 d及 2年体征的改善率差别均无显著性 ,术后 14d前、后路手术总改善率差别无显著性 ,术后 90 d和 2年前路手术的总改善率均显著高于后路手术。 4结论 对发育性颈椎管狭窄合并椎间盘突出的病人 ,前路和后路手术均可取得较好的近期疗效 ,但前路手术的远期疗效优于后路手术

关 键 词:颈椎  椎管狭窄  椎间盘移位  椎板切除术  外科  手术

ANTERIOR AND POSTERIOR APPROACH FOR THE TREATMENT OF DEVEL OPMENTAL CERVICAL CANAL STENOSIS COMBINED WITH CERVICAL INTERVERTEBRAL DISC HERNIATION
Wang Kuiguang,Chen Xiaoliang,H u Yougu,etal.ANTERIOR AND POSTERIOR APPROACH FOR THE TREATMENT OF DEVEL OPMENTAL CERVICAL CANAL STENOSIS COMBINED WITH CERVICAL INTERVERTEBRAL DISC HERNIATION[J].Medical Journal of Qilu,1998(4).
Authors:Wang Kuiguang  Chen Xiaoliang  H u Yougu  etal
Institution:Wang Kuiguang,Chen Xiaoliang,H u Yougu,etal Department of Orthopaedics,The Affiliated Hospital of Qingdao Medical College,Qingdao 2 6 6 0 0 3
Abstract:Objective To com pare the short-term and long-term therapeutic effect in treating developm ental cervical canal stenosis combined with cervical intervertebral disc herniation either by anterior cervical discectomy and fusion (ACDF) or posterior cervical expansive mono-open-door laminoplasty(PCEML) through quantitative score evaluation. Methods 12 cases of developm ental cervical canal stenosis combined with intervertebral disc herniation were treated with ACDF and PCEML , Quantitative score evaluation was performed 1d before surgery and 14 d,90 d,2 y after operation. Results The average sensory disturbance score(SD) ,myodynamic disturbance score(MD) and physical sign score(PS) reduced gradually14 d,90 d and2 y after surgery in both groups,the im provement ratio therefore rised up simultaneously.The improvement ratio for SD in ACDF group was significantly higher than that of PCEML group14 d,90 d and2 y after operation.The improvement ratio for MD in ACDF group was also significantly higher than that of PCEMAL group 14 d,2 y after surgery. However,there was no significant difference for PS improvement ratio in both groups.The total improvement ratio in ACDF was higher than in PCEML 90 d and2 y after surgery. Conclusion Both ACDF and PCEML achieved better short-term results,but for long-term effect,ACDF was superior to PCEML.
Keywords:cervical vertebrae  spinal stenosis  intervertebral disk displacement  laminectomy  surgery  operative  
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