锚定法与微型钛板固定法颈后路单开门椎管扩大成形术后老年患者轴性症状对比研究

发布时间：2018-08-11 14:40

【摘要】：目的观察评价老年患者颈后路单开门椎管扩大成形术中应用锚定法与微型钛板对术后轴性症状的影响。方法选择2010-02-2014-08在本科行颈后路单开门椎管扩大成形术患者83例,其中应用锚定法固定43例,应用微型钛板固定40例。锚定法组43例,其中男31例,女12例,年龄46~72岁,平均68.6岁,JOA评分为5~12分,平均(8.34±1.25)分;微型钛板组40例,其中男33例,女7例,年龄47~71岁,平均64.1岁,JOA评分为6~13分,平均(8.89±1.98)分。结果两组患者手术过程顺利,术后切口均一期愈合,术后2个月和术后1年轴性症状发生率比较,锚定法组高于微型钛板组,差异有统计学意义(P0.05)。结论对老年患者应用微型钛板完成颈后路单开门椎管扩大成形术,可获得早期稳定,便于功能锻炼,减少颈椎轴性症状的发生,具有一定优势。
[Abstract]:Objective to evaluate the effect of anchoring and micro titanium plate on postoperative axial symptoms in elderly patients with posterior cervical open door laminoplasty. Methods Eighty-three patients underwent open-door laminoplasty via posterior cervical approach in 2010-02-2014-08. 43 cases were fixed with anchoring and 40 cases were fixed with micro-titanium plate. There were 43 cases in the anchoring group, including 31 males and 12 females, aged 467.72 years old (mean 68.6 years old), JOA score ranged from 5 to 12 (mean (8.34 卤1.25), and 40 cases in the miniature titanium plate group (male 33, female 7, age 47771, mean 64.1 years) JOA score (8.89 卤1.98). Results the operation process of the two groups was smooth and the incision healed at the first stage. The incidence of axial symptoms in the Anchorage group was higher than that in the mini titanium plate group (P0.05) 2 months after operation and 1 year after operation. Conclusion the application of mini-titanium plate in posterior cervical open door laminoplasty can obtain early stability, facilitate functional exercise, and reduce the incidence of cervical axial symptoms, which has certain advantages.
【作者单位】：中国兵器工业521医院脊柱外科;
【分类号】：R687.3

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