后路单开门一期前后路手术减压联合治疗前后受压脊髓型颈椎病患者疗效分析.docVIP

后路单开门一期前后路手术减压联合治疗前后受压脊髓型颈椎病患者疗效分析 　　[摘要] 目的 探?后路单开门、一期前后路手术减压联合治疗前后受压脊髓型颈椎病患者的疗效分析。 方法 将2014年3月～2016年3月在我院骨科治疗的84例前后受压脊髓型颈椎病患者随机分为两组，对照组采用后路单开门手术治疗，观察组采用一期前后路手术减压联合治疗，比较两组患者的各项手术指标、脊椎功能恢复情况、并发症发生情况。结果 观察组手术时间、术中出血量、椎管开门度数与对照组相比，两组有显著差异（P0.05）；观察组并发症发生率为9.52%，低于对照组的11.90%，两组间无统计学差异（P0.05）。 结论 后路单开门与一期前后路手术减压联合治疗前后受压脊髓型颈椎病均有良好的效果，能够有效恢复颈椎生理弧度，使脊髓充分后移，解除前方压迫，应分清适应征采取相应的术式治疗。 　　[关键词] 前后受压脊髓型颈椎病；后路单开门；一期前后路手术减压联合治疗 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 2095-0616（2017）11-224-04 　　Analysis on curative effect of posterior single open-door operation and one-stage anterior and posterior operation decompression combined treatment on patients with anterior and posterior compression cervical spondylotic myelopathy 　　WANG Hao CAI Honghua 　　Department of Spine Surgery， Huizhou Central Peoples Hospital， Guangdong， Huizhou 516000， China 　　[Abstract] Objective To explore analysis on curative effect of posterior single open-door operation and one-stage anterior and posterior operation decompression combined treatment on patients with anterior and posterior compression cervical spondylotic myelopathy. Methods 84 patients with anterior and posterior compression cervical spondylotic myelopathy who were treated in department of orthopedics in our hospital from March 2014 to March 2016 were randomly divided into two rgoups. The control group was given posterior single open-door operation for treatment while the observation group was given one-stage anterior and posterior operation decompression combined treatment. Operation indexes， spinal functional recovery and occurrence of complications of patients in two groups were compared. Results Operation time， intraoperative blood loss， open-door degree of vertebral canal of two groups had significant difference （P0.05）. Complication rate of the observation group was 9.52%， lower than that of the control group 11.90%. There was no significant difference between two groups （P0.05）. Conclusion Effects of posterior single open-door operation a