颈椎双开门椎板成形治疗无骨折脱位脊髓损伤
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沧州市中心医院

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double-door laminoplasty in the treatment of cervical spinal cord injury without fracture and dislocation
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cangzhou central hospital

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    摘要:

    摘要:[目的] 探讨颈椎双开门椎板成形术治疗无骨折脱位型颈脊髓损伤的疗效。[方法] 回顾性分析我科2016年1月~2019年6月颈椎双开门椎板成形术治疗的无骨折脱位型颈脊髓损伤52例患者资料,受伤至入院的时间1h~120h,平均25.62±6.43h。[结果] 手术用时1.5~2.5h,平均2.1h,术中出血量200~800ml,平均265.51±41.27ml,无一例颈脊髓损伤加重。52例患者均获得随访,随访时间6~36月,平均19.2月,末次随访时JOA评分13.71±2.62,与术前JOA评分5.42±1.85,相比差异有统计学意义(t=21.64,P<0.05),平均恢复率63.56%,优良率为78.80%。[结论] 颈椎双开门椎板成形术治疗无骨折脱位型颈脊髓损伤,可取得满意的疗效,有较高的安全性。

    Abstract:

    Abstract: [Objective] To evaluate the clinical effect of double-door laminoplasty in the treatment of cervical spinal cord injury without fracture and dislocation. [Methods] The clinical data of 52 patients without fracture and dislocation with cervical spinal cord injury treated by posterior cervical double-door laminoplasty in our department from January 2016 to June 2019 were retrospectively analyzed. The time from injury to admission was 1h~120h, with an average of 25.62±6.43h. [Results] The operation time was 1.5~2.5h, with an average of 2.1h, and the intraoperative blood loss was 200~800ml, with an average of 265.51±41.27ml.All the 52 patients were followed up for 6~36 months with an average of 19.2 months. JOA score was 13.71±2.62 at the last follow-up, compared with 5.42±1.85 before the operation, the difference was statistically significant (t=21.64, P < 0.05), the average recovery rate was 63.56%, and the excellent and good efficacy rate was 78.80%. [Conclusion] The treatment of cervical spinal cord injury without fracture and dislocation by posterior cervical double-door laminoplasty is satisfactory, safe and worthy of promotion.

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  • 收稿日期:2020-02-26
  • 最后修改日期:2020-06-25
  • 录用日期:2020-08-04
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