颈3-6与颈3-7单开门椎管扩大成形术后轴性症状的对比研究

发布时间：2018-05-13 01:32

本文选题：椎管扩大成形术 + 轴性症状　；参考：《郑州大学》2017年硕士论文

【摘要】：目的探讨保留颈7棘突及其附属结构的颈后路单开门椎管扩大成形术是否能减少术后轴性症状的发生。方法回顾性分析2013年6月-2015年2月在我科行颈3-6(实验组19例)或颈3-7(对照组22例)单开门椎管扩大椎板成形术的多节段脊髓型颈椎病患者共41例,记录两组的手术时间、出血量、术前后JOA评分、术前后颈椎活动度、术后轴性症状的发生率,并用统计学方法比较上述指标有无显著差异。结果随访12-30个月,平均21个月。两组手术时间、出血量组间比较差异无统计学意义(P0.05);术后12个月随访,两组脊髓功能改善率、颈椎活动度变化的组间比较差异无统计学意义(P0.05);颈3-7组与颈3-6组术后轴性症状发生率差异无统计学意义(P0.05)。结论保留颈7及其附属结构的颈3-6椎管扩大成形术与传统的颈3-7术式相比并不能减少术后轴性症状的发生。
[Abstract]:Objective to investigate whether the posterior open-door laminoplasty with preserving the spinous process of cervical 7 and its accessory structure can reduce the incidence of postoperative axial symptoms. Methods from June 2013 to February 2015, 41 patients with multilevel cervical Spondylotic myelopathy underwent open door laminoplasty in our department, including 19 patients in the experimental group and 22 patients in the control group. The operative time of the two groups was recorded. The amount of bleeding, JOA score before and after operation, cervical movement before and after operation, and the incidence of postoperative axial symptoms were compared statistically. Results the follow-up was 12-30 months with an average of 21 months. There was no significant difference in the operation time and bleeding volume between the two groups (P 0.05), and the improvement rate of spinal cord function in the two groups was observed 12 months after operation. There was no significant difference in the incidence of axial symptoms between the cervical 3-7 group and the cervical 3-6 group, and there was no significant difference in the incidence of axial symptoms between the cervical 3-7 group and the cervical 3-6 group. Conclusion Cervical 3-6 laminoplasty with conserving cervical 7 and its accessory structure can not reduce the incidence of axial symptoms compared with the traditional cervical 3-7 procedure.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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