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脊髓型颈椎病前路手术疗效及影响因素分析

脊髓型颈椎病前路手术疗效及影响因素分析

摘要为探讨影响脊髓型颈椎病前路手术疗效的因素,本文对1986年5月~1994年2月间的152例脊髓型颈椎病人前路手术后的疗效及常见影响因素作一分析。结果发现,病程、年龄及病情与疗效有关,手术范围及方式与疗效无关。建议脊髓型颈椎病确诊后应尽快手术治疗,合适的手术方式及减压范围均可取得满意疗效。关键词脊髓型颈椎病。前路手术。影响因素

analysisofeffectandinfluencingfactorsofanteriordecompressionforcervicalspondyloticmyelopathyxujianguang,chenguorui.departmentoforthopaedics,shanghaithesixthpeopleshospital,shanghai,200233.

abstracttoexplorethecurativeeffectandinfluencingfactorsofanteriordecompressionforcervicalspondyloticmyelopathy,theeffectsandcommoninfluencingfactorsof152patientswithcervicalspondyloticmyelopathytreatedbyanteriordecompressionfrommayof1986tofebruaryof1994wereanalyzed.theresultshowedthatthefactorsincludingcauseofdisease,patientageandtheconditionhadmuchtodowiththeeffect,butoperativescopeandmethodhadnorelationwiththeeffect.wesuggestedthatoperationwasperformedassoonaspossiblewhencervicalspondyloticmyelopathywasdiagnosed.thesatisfactoryresultwasachievedbyproperoperativewayanddecompressionscope.

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