颈椎前后路联合手术治疗颈椎管狭窄并颈椎损伤的效果观察(1)
[摘要] 目的 研究頸椎前后路联合手术治疗颈椎管狭窄并颈椎损伤的效果。 方法 选取2014年8月～2015年8月期间在我院进行治疗的颈椎管狭窄并颈椎损伤患者，将60例患者应用计算机随机分为两组，每组30例。其中，实施单纯颈前路减压手术治疗为对照组，采用颈椎前后路联合手术治疗为观察组。对比两组颈椎管狭窄并颈椎损伤患者的JOA评分和脊髓功能改善率。 结果 观察组颈椎管狭窄并颈椎损伤患者术后1个月和术后1年的JOA评分、术后6个月和术后1年的脊髓功能改善率与对照组患者相比更具优势(P<0.05)。结论 对颈椎管狭窄并颈椎损伤患者应用颈椎前后路联合手术治疗有利于其颈椎功能和脊髓功能的改善，效果较为理想，适合在临床上推广使用。
[关键词] 颈椎管狭窄；颈椎损伤；前后路联合手术；JOA评分
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2017)04-0082-03
Observation on the effect of cervical anterior and posterior combined surgery in the treatment of cervical spinal canal stenosis combined with cervical injury
ZHANG Zhongmin1 MENG Ye2 NA Lisha3 AN Ning4 XIE Jinding5 LI Zhaosheng4
1.Department of Second Neurosurgery， Mudanjiang Medical College Affiliated Red Flag Hospital， Mudanjiang 157011， China； 2.Depratment of Ultrasound， the Second Affiliated Hospital of Mudanjiang Medical College， Mudanjiang 157011， China； 3.Department of Pharmacy， Mudanjiang Medical College Affiliated Red Flag Hospital， Mudanjiang 157011， China； 4.Department of Second Neurology， Mudanjiang Medical College Affiliated Red Flag Hospital， Mudanjiang 157011， China； 5.Department of Orthopedics， Mudanjiang Medical College Affiliated Third Hospital Forestry Central Hospital， Mudanjiang 157011， China
[Abstract] Objective To study the effect of cervical anterior and posterior combined surgery in the treatment of cervical spinal canal stenosis combined with cervical injury. Methods 60 patients in our hospital for treatment of cervical spinal stenosis combined with cervical injury from August 2014 to August 2015 were selected as study subjects， and randomly divided into two group， with 30 patients in each group. One of the two groups underwent simple anterior decompression surgery(control group)， and the other group was used cervical anterior and posterior combined surgery(observation group). The JOA score and the improvement rate of spinal cord function in patients with cervical spinal stenosis combined with cervical spine injury were compared. Results The JOA score of 1 month and 1 year after operation and the improvement rate of spinal cord function at 6 months and 1 year after operation were superior to those of the control group(P<0.05). Conclusion The application of cervical anterior and posterior combined surgery in cervical spinal cord stenosis and cervical spine injury patients is conducive to the improvement of cervical function and spinal cord function， which has an ideal effect and suitable for clinical use., 百拇医药(张忠民 孟晔 那丽莎 安宁 解锦鼎 栗昭生)
[关键词] 颈椎管狭窄；颈椎损伤；前后路联合手术；JOA评分
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2017)04-0082-03
Observation on the effect of cervical anterior and posterior combined surgery in the treatment of cervical spinal canal stenosis combined with cervical injury
ZHANG Zhongmin1 MENG Ye2 NA Lisha3 AN Ning4 XIE Jinding5 LI Zhaosheng4
1.Department of Second Neurosurgery， Mudanjiang Medical College Affiliated Red Flag Hospital， Mudanjiang 157011， China； 2.Depratment of Ultrasound， the Second Affiliated Hospital of Mudanjiang Medical College， Mudanjiang 157011， China； 3.Department of Pharmacy， Mudanjiang Medical College Affiliated Red Flag Hospital， Mudanjiang 157011， China； 4.Department of Second Neurology， Mudanjiang Medical College Affiliated Red Flag Hospital， Mudanjiang 157011， China； 5.Department of Orthopedics， Mudanjiang Medical College Affiliated Third Hospital Forestry Central Hospital， Mudanjiang 157011， China
[Abstract] Objective To study the effect of cervical anterior and posterior combined surgery in the treatment of cervical spinal canal stenosis combined with cervical injury. Methods 60 patients in our hospital for treatment of cervical spinal stenosis combined with cervical injury from August 2014 to August 2015 were selected as study subjects， and randomly divided into two group， with 30 patients in each group. One of the two groups underwent simple anterior decompression surgery(control group)， and the other group was used cervical anterior and posterior combined surgery(observation group). The JOA score and the improvement rate of spinal cord function in patients with cervical spinal stenosis combined with cervical spine injury were compared. Results The JOA score of 1 month and 1 year after operation and the improvement rate of spinal cord function at 6 months and 1 year after operation were superior to those of the control group(P<0.05). Conclusion The application of cervical anterior and posterior combined surgery in cervical spinal cord stenosis and cervical spine injury patients is conducive to the improvement of cervical function and spinal cord function， which has an ideal effect and suitable for clinical use., 百拇医药(张忠民 孟晔 那丽莎 安宁 解锦鼎 栗昭生)