颈椎后路双开门椎管成形术后脊髓旋转与C5神经根麻痹的关系

发布时间：2018-03-17 00:15

本文选题：脊髓型颈椎病　切入点：C5神经根麻痹　出处：《吉林大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：颈椎后路双开门椎管成形术后脊髓旋转与C5神经根麻痹的关系。方法：回顾性分析2013年1月至2014年11月在我院行颈椎后路双开门椎管成形术的颈椎管狭窄症的患者140例，颈椎MRI资料：男78例，女62例；年龄41～82岁，，平均为61.4±9.4岁；病程17～240月。行术式为颈椎后路双开门椎管成形术，发生C5神经根麻痹组：11例，未发生C5神经根麻痹组：129例。比较两组之间的差异，分别在性别、年龄、手术时间、出血量、术前术后JOA评分、术后脊髓后移距离、术前脊髓旋转角度、术后脊髓旋转角度、脊髓旋转角度改变等方面。结果：两组患者性别、年龄、手术时间、出血量、术前术后JOA评分、脊髓内高信号发生率、术后脊髓后移距离无显著性差异；两组患者术前脊髓旋转角度、术后脊髓旋转角度及脊髓旋转角度改变存在显著差异。结论： 1、颈椎后路双开门椎管成形术后C5神经根麻痹与术前脊髓旋转及术后脊髓旋转改变相关； 2、颈椎后路双开门椎管成形术后C5神经根麻痹与预后无关。
[Abstract]:Objective:. The relationship between spinal rotation and C _ 5 nerve root palsy after double open door spinal canal angioplasty. Methods:. From January 2013 to November 2014, 140 patients with cervical spinal stenosis underwent double open door laminoplasty in our hospital were retrospectively analyzed. The MRI data of cervical vertebrae were 78 males and 62 females, with an average age of 61. 4 卤9. 4 years old. The course of the disease was 17 ~ 240 months. The operation was performed with double open door spinal canal angioplasty via posterior cervical approach. There were 11 cases of C5 nerve root palsy in the control group and 129 cases in the no C5 nerve root palsy group. The differences between the two groups were compared, including sex, age, operation time, bleeding volume, etc. JOA score before and after operation, the distance of spinal cord posterior shift, the rotation angle of spinal cord before operation, the angle of rotation of spinal cord after operation, the change of rotation angle of spinal cord, etc. Results:. There was no significant difference in sex, age, operation time, bleeding volume, JOA score, incidence of hyperintense spinal cord and the distance of spinal cord posterior shift between the two groups before and after operation, the rotation angle of spinal cord before operation was not significant between the two groups, and there was no significant difference between the two groups. There were significant differences in spinal rotation angle and spinal rotation angle after operation. Conclusion:. 1. C5 nerve root paralysis after double open door spinal canal angioplasty was related to the changes of spinal cord rotation before and after operation. 2. C 5 nerve root palsy after double open door spinal canal angioplasty was not associated with prognosis.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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