【摘要】 目的观察Ⅰ期手术减压治疗颈腰椎并发的椎管狭窄症的疗效及其安全性。方法回顾22例Ⅰ期手术减压治疗颈、腰椎并发的椎管狭窄症的临床资料及围手术期并发症,平均年龄(68.7±9.3)岁(55~83岁),随访24~58个月,记录手术时间、出血量、住院时间;术前、术后1月和随访末期JOA评分(颈椎17分法、腰椎29分法)及其改善率;患者满意度;并分析围手术期并发症。结果平均手术时间、失血量、住院时间分别是(189±49)min、(490±70)ml、15.9 d;随访末期JOA改善率分别达到67.9%(C-JOA)、63.5%(L-JOA),较术前显著改善(P<0.05),病人满意度73.9%;围手术期并发症发生率18.1%,包括急性失血、脑脊液漏、深部感染、短暂性神经损害各1例。结论Ⅰ期手术减压治疗颈腰椎并发的椎管狭窄症疗效满意;围手术期并发症并未因此增加,但应严格手术指征。更多还原

【Abstract】 Objective To evaluate clinical outcomes and safety of one-staged combined cervical and lumbar decompression for patients with tandem spinal stenosis. Methods Clinical outcomes and perioperative complications were reviewed in 22 patients who underwent one- staged combined cervical and lumbar decompression retrospectively. The mean age was(68.7 ± 9.3) years(55~83 years).The follow- up period ranged from 24 to 58 months. The JOA score and its recovery rate(cervical- 17 points, lumbar- 29points)were recorded before operation, 1 month after surgery, and at the final follow- up. Results The mean surgical duration, blood loss, and hospitalization length were(189 ± 49) min、(490 ± 70) ml、15.9 days respectively. The JOA recovery rate were 67.9% for cervical and 63.5% for lumbar at the final follow-up. The improvement degree of JOA scores was significant compared with that of pre- operation. The overall complication incidence were 18.1%, which included acute blood loss anemia 1 case, cerebrospinal fluid leakage 1 case, deep infection 1 case, Transient neurological deficiency 1 case. Conclusions One- staged combined cervical and lumbar decompression for TSS can deliver fair results. It is a safe and effective method for this condition.更多还原