神经根型颈椎病的前路手术治疗与保守疗法的对比研究.doc

摘要
神经根型颈椎病的前路手术治疗与保守疗法的对比研究
研究生:王贵胜导师:田禾教授
摘

要
目的:比较经前路椎体减压+植骨融合+内固定术与保守疗法治疗神经根型颈椎
病的临床效果。方法:采用回顾性研究,对本院 2005 年 1 月-2010 年 1 月因颈椎病(神
经根型)住院治疗 243 例患者,前路手术治疗 131 例,保守治疗 112 例。随访 3 个月
-3 年,采用日本 N’NAKANO 和 T’NAKANO 评定标准和 VAS 评分评定疗效。结果:
前路手术治疗组和保守治疗组总体治疗优良率分别为 %和 %,无显著性差异
(P>);治疗后疼痛缓解时间分别为 ± 和 ±,有显著性差异
(P<);治疗后麻木缓解时间分别为 ± 和 ±,有显著性差异
(P<);两组平均住院时间分别为 和 ,无显著性差异(P>);复发率
分别为 %和 %,有显著性差异(P<)。其中前路手术治疗组有 1 例患者并发
植骨移位,2 例患者并发脑脊液漏,1 例患者并发术后取骨处疼痛,其余病例无神经
根、脊髓损伤及椎体不稳等并发症发生。结论:前路手术治疗与保守疗法治疗神经
根型颈椎病的临床效果相近,但前路手术治疗组减压彻底,见效快,复发率低,是
一种安全、有效、迅速治疗神经根型颈椎病治疗方式。
关键词:神经根型颈椎病; 前路手术治疗; 保守治疗
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新疆医科大学医学硕士学位论文
Retrospective parative study of anterior cervical
approach operation and conservative treatment for
cervical spondylotic radiculopathy
Postgraduate:Wang Guisheng

Supervisor: He
Abstract
Objective

pare the therapeutic effect of anterior cervical pression, bone
graft and internal fixation and conservative method for the treatment of cervical
spondylotic radiculopathy. Methods
A retrospective study was carried out from January
2005 to January 2010, and there were 243 cervical spondylotic radiculopathy patients who
were operated by anterior cervical approach operatio n (131 cases) or conservative method
(112 cases). Results of all cases had been followed up 3 months to 3 year. A clinical
e was quantified by the N’NAKANO and T’NAKANO grade system and VAS
standard. Results
The total essful rate of the operatio n group and that of
conservative treatment group were % and %, without significantly difference
(P>). The time of symptom relieved after treatment were significantly difference
(pain:± and ±; anesthesia:± and ±,P<). The mean
hospital stay of operatio n group and that of conservative treatment group were and
, without significantly difference (P>). The recurrence rate of operation group
was