双开门椎板成形椎管扩大术治疗老年颈椎病患者疗效分析.pdfVIP

堂挂处型苤圭：!!!!生!!旦：筮!!鲞!塑』!Ei!坐!!垡：垒!鲤塾!!!!：!!!!!：№堡 ·193· ·临床研究· 双开门椎板成形椎管扩大术治疗老年颈椎病患者疗效 分析 王 乐，刘少喻，魏富鑫，崔尚斌，龙厚清，韩国伟，黄阳亮，张旭华 【摘要】 目的评估对老年颈椎病患者(I60岁)行双开门椎板成形椎管扩大术治疗的中远期疗效。方法回顾性 女20例；年龄为60—80岁，平均67．78岁。评估所有患者手术情况，记录术前、术后1周、术后3个月、术后6个月及 之后每半年的日本骨科学会(Japanese Association，JOA)颈椎评分和颈椎功能障碍指数(neck Orthopaedic disability 后并发症泌尿系统感染、肺部感染、脑脊液漏和术后轴性症状各1例，并发症发生率为6．35％。低龄老年患者和高龄 双开门椎板成形椎管扩大术治疗的中远期疗效可靠。 【关键词】颈椎；椎管；颈椎病；椎管狭窄；椎板切除术；老年人 681．531 【中图分类号】R 【文献标志码】A【文章编号】1672-2957(2015)04-0193-05 【DOI】doi：10．3969／j．issn．1672-2957．2015．04．001 Efficacy ofdouble-door intreatmentfor cervical WANGLe． analysis laminoplasty elderlypatients诵mspondylosis LIU Xu—hua． Shao·yu，WEIFu·xin，CUI Shang—bin，LONGHou-qing，HANGuo—wei，HUANGYang-liang，ZHANG Yat-sen Affa谊ted ofSun Departmentof却删Surgery，FirstHospital University，Guangzhou To and the ofdouble．door forthetreatmentin 【Abstract】Objective investigateanalysisefficacy laminoplasty elderly cervical Thedataof63 with patients(≥60years)withspondylesisbylong-termfollow-up．Methods elderlypatients cervical treateddouble—door from 2002 and 3 were spondylosisby laminoplastyJanuarytoJune2010 followed-upyears all were and20 of was60-80 males werefemales．The retrospectivelyanalyzed．Ofpatients，43 age patients years 67．78 re