椎动脉型颈椎病的术式选择 |
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引用本文: | 张涛,高延征,闫守月,杨敏杰. 椎动脉型颈椎病的术式选择[J]. 中国骨与关节损伤杂志, 2001, 16(1): 1-2 |
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作者姓名: | 张涛 高延征 闫守月 杨敏杰 |
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作者单位: | 1. 河省省人民医院骨科 郑州 450003 2. 河南省濮阳市中原油第四医院 3. 河南省濮阳市中原油田第四医院 4. 西安医科大学第一临床医学院 |
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摘 要: | 目的 探讨椎动脉型颈椎病的术式选择。方法 采用五种手术方式治疗椎动脉型颈椎病 2 2例 ,其中横突孔切开减压 2例 ,横突孔切开减压、钩椎关节切除 6例 ,颈椎间盘切除、植骨融合术 9例 ,颈椎植骨融合加钩椎关节切除 2例 ,颈椎管扩大成形术 3例。结果 随访 1年~ 3年 2个月 ,优 9例 ,良 7例 ,可 4例 ,优良率 80 %。结论 椎动脉型颈椎病并非单纯由椎动脉受压所致 ,针对不同的原因选择手术方式 ,可以取得良好的治疗效果
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关 键 词: | 椎动脉 颈椎病 术式选择 |
修稿时间: | 2000-09-04 |
Surgical Selection for Treating Cervical Spondylosis of Vertebral Ar terial Insufficiency Type |
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Abstract: | Objective To analysis the surgical selection for treating thecervical spondylosis of vertebral arterial insufficiency type. Methods Twenty two cases were operated with five different operatio ns: 2 were incision of the transverse process, 6 were incision of the transverse process plus resection of the Luschkas joint, 9 were cervical disce tomy and fusion, 2 were cervical fusion plus resection of the Luschka 'sjoint, 3 were laminopasty.Results Twenty cases were fol lowed -up from 12 to 38 months, the excellent and good rate were 80 percent.Conclusion The pressure of vertebral artery was not the sole reason causin g cervical spondylosis of vertebral arterial insuffciency type. Selecting appropriate operationes according to different cases will achieve good results. |
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Keywords: | Vertebral artery Cervical spondylosis Surgical selection |
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