Page 314 - 北京京煤集团总医院第十届·2022学术年会论文集
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北京京煤集团总医院 第十届·2022 学术年会论文集
后路椎管扩大减压微型钛板固定椎板成形术治疗颈椎病
患者的效果
宋正鑫,卫力晋,刘岩,吴立君,毛英夫,杨传忠(北京京煤集团总医院骨科)
【摘要】 目的:分析后路椎管扩大减压微型钛板固定椎板成形术治疗颈椎病患者的效果。
方法:选取 2017 年 1 月 -2019 年 12 月北京京煤集团总医院骨科收治的 60 例颈椎病患
者。按电脑数字表法随机将其分作对照组和观察组,各 30 例。观察组予以颈后路椎管扩大
减压微型钛板固定椎板成形术,对照组予以传统颈椎后路单开门椎管扩大减压术。比较术后
6 个月、末次随访时两组轴性症状与开门角度。比较两组术前、术后 6 个月、末次随访时
颈椎曲度、颈椎管矢状径、颈椎活动度、颈椎功能、神经功能。结果:术后 6 个月、末次
随访时,观察组轴性症状评分高于对照组,开门角度大于对照组(P<0.05)。术后 6 个月、
末次随访时,观察组颈椎曲度、颈椎管矢状径与颈椎活动度均高于对照组(P<0.05)。术后
6 个月、末次随访时,两组颈椎功能障碍指数(NDI)评分均明显降低,观察组 NDI 评分
更低(P<0.05)。术后 6 个月、末次随访时,两组日本骨科协会评估治疗(JOA)评分均明
显升高,且观察组 JOA 评分更高(P<0.05)。结论:与传统颈椎后路单开门椎管扩大减压
术比较,后路椎管扩大减压微型钛板固定椎板成形术有助于改善颈椎病患者的轴性症状,稳
定开门角度、颈椎曲度、颈椎管矢状径及颈椎活动度,并且促进颈椎功能及神经功能恢复。
【关键词】 颈椎病 后路椎管扩大减压微型钛板固定椎板成形术 颈椎功能 神经功能
Effect of Posterior Spinal Canal Expanded Decompression Mini Titanium Plate Fixation
Laminoplasty in the Treatment of Patients with Cervical Spondylosis
SONG Zhengxin, WEI Lijin, LIU Yan, WU Lijun, MAO Yingfu, YANG Chuanzhong
[Abstract] Objective: To analyze the effect of posterior spinal canal expanded decompression
mini titanium plate fixation laminoplasty in the treatment of patients with cervical spondylosis.
Method: A total of 60 patients with cervical spondylosis admitted to the Department of
Orthopedics of General Hospital of Beijing Jingmei Group from January 2017 to December 2019
were selected. They were randomly divided into control group and observation group according to
computer digital table method, with 30 cases in each group. The observation group was given the
posterior spinal canal expanded decompression mini titanium plate fixation laminoplasty, and the
control group was given the traditional cervical vertebra posterior single door spinal canal
expansion decompression. The axial symptoms and door opening angle of the two groups were
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