【摘要】 目的探讨前路手术治疗脊髓型颈椎病的临床疗效。方法选取2006年1月-2009年12月收治于我院的46例脊髓型颈椎病患者,对其采取前路手术治疗,观察其临床疗效。以及根据病程的长短来分析影响手术疗效的因素。结果 46例患者经过治疗后,优为25例,良为12例,可为8例,差为1例,总有效率为97.8%,优良率为80.4%,手术效果显著,患者在6个月内手术,术后的JOA评分优良率优于6个月以上的,故病程的长短影响了手术的疗效(P<0.05)。结论脊髓型颈椎病易尽早手术,且前路的治疗具有操作简单、安全、疗效好等优点,为治疗脊髓型颈椎病的有效手术方式,值得临床推广应用。更多还原

【Abstract】 Objective To evaluate the effect of operative treatment for patients with cervical spondylotic myelopathy.Methods The clinical data of 46 patients with cervical spondylotic myelopathy of 2006.1-2009.12 treated by anterior approach were reviewed and analyzed,And according to the length of course to analyze the factors affecting surgery.Results The effect of 46 cases operation:25 cases were excellent,12 cases were good,8 cases were passed and 1 cases were bad.The total effective rate was 97.8% and the excellent and good rate was 80.4%,significant effect of surgery,Patients within 6 months after surgery the good rate of JOA score is better than 6 months or more,so the length of course affected the outcome of surgery(P <0.05).Conclusion CSM easy to surgery as soon as possible,Anterior approach is a operating simply,safe and effective method for patients with cervical spondylotic myelopathy.It’s worth to spread application.更多还原