【摘要】 目的探讨脊髓型颈椎病前路手术疗效与病程的关系。方法对１８２例病人作随访。其中绝大部分为信访。随访时间为６～１５０月，平均５７．４月。结果病程短则疗效好。６月以内手术疗效最好，２ａ以上者疗效明显差。经统计学处理，差别有统计意义。但病程与疗效之间无绝对的对应关系。结论脊髓型颈椎病诊断明确后，应尽早手术治疗，病程最好不超过２ａ。当然，仍应严格掌握手术指征。更多还原

【Abstract】 URPOSE In order to study the relationship between the efficacy of surgical intervention through anterior approach and the course of disease in cervical spondylitic myelopathy.METHODS From 1977 to 1996, 182 cases had been followed up. In most of them the follow up survey was by quetionnaire. The average period of follow up was 57.4 months (6～150 months). The informations of these cases were analyzed with statistics.RESULTS The statistical results showed that the shorter the course of the disease, the better the surgical result. In patients operated on within 6 months of the course of the disease, the surgical result was the best. While the course of disease was beyond two years, the operative result was obviously poor. But there was no absolute correlation.CONCLUSIONS After the establishment of the disease, operation should be carried out as earlier as possible, better within two years. However, the operative indication should be controlled strictly.更多还原