本文選題：椎管擴大成形術 + 軸性癥狀��； 參考：《鄭州大學》2017年碩士論文

【摘要】：目的探討保留頸7棘突及其附屬結構的頸后路單開門椎管擴大成形術是否能減少術后軸性癥狀的發(fā)生。方法回顧性分析2013年6月-2015年2月在我科行頸3-6(實驗組19例)或頸3-7(對照組22例)單開門椎管擴大椎板成形術的多節(jié)段脊髓型頸椎病患者共41例,記錄兩組的手術時間、出血量、術前后JOA評分、術前后頸椎活動度、術后軸性癥狀的發(fā)生率,并用統(tǒng)計學方法比較上述指標有無顯著差異。結果隨訪12-30個月,平均21個月。兩組手術時間、出血量組間比較差異無統(tǒng)計學意義(P0.05);術后12個月隨訪,兩組脊髓功能改善率、頸椎活動度變化的組間比較差異無統(tǒng)計學意義(P0.05);頸3-7組與頸3-6組術后軸性癥狀發(fā)生率差異無統(tǒng)計學意義(P0.05)。結論保留頸7及其附屬結構的頸3-6椎管擴大成形術與傳統(tǒng)的頸3-7術式相比并不能減少術后軸性癥狀的發(fā)生。
[Abstract]:Objective to investigate whether the posterior open-door laminoplasty with preserving the spinous process of cervical 7 and its accessory structure can reduce the incidence of postoperative axial symptoms. Methods from June 2013 to February 2015, 41 patients with multilevel cervical Spondylotic myelopathy underwent open door laminoplasty in our department, including 19 patients in the experimental group and 22 patients in the control group. The operative time of the two groups was recorded. The amount of bleeding, JOA score before and after operation, cervical movement before and after operation, and the incidence of postoperative axial symptoms were compared statistically. Results the follow-up was 12-30 months with an average of 21 months. There was no significant difference in the operation time and bleeding volume between the two groups (P 0.05), and the improvement rate of spinal cord function in the two groups was observed 12 months after operation. There was no significant difference in the incidence of axial symptoms between the cervical 3-7 group and the cervical 3-6 group, and there was no significant difference in the incidence of axial symptoms between the cervical 3-7 group and the cervical 3-6 group. Conclusion Cervical 3-6 laminoplasty with conserving cervical 7 and its accessory structure can not reduce the incidence of axial symptoms compared with the traditional cervical 3-7 procedure.
【學位授予單位】：鄭州大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R687.3

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