【摘要】 目的:探讨脊髓型颈椎病的围手术期康复治疗的方法,以提高手术疗效,促进肢体功能的改善。方法:对本组共113例脊髓型颈椎病的并发症及术前、术后康复治疗的疗效进行随访和综合分析。结果:本组113例术后获得随访6个月~30个月,平均14.85个月±4.68个月,术前JOA评分10.20分±1.66分,术后JOA评分平均15.52分±2.45分,神经功能恢复率为78.8%、加重3例、并发症侯6例。结论:影响脊髓型颈椎病的术后疗效的因素很多,手术治疗只是其中的一个方面。通过术前、术后积极系统的康复治疗及整个围手术期的综合措施,才能最大限度地恢复肢体功能。更多还原

【Abstract】 Objective:To explore the management of perioperation and analyse complication of spinal cord chronic compression so as to elevate the curative effect and improve the nerve function.Methods:To analyse the pre-operative treatment、operative methods、intervention study、post-operative treatment and complication of 113 cases of spinal cord chronic compression of cervical spondylosis.Results:All the cases were followed average 14.85±4.68 months,the functional recovery rate 78.8%,3cases aggravation and 16 complications.Conclusions: Many factors could affect the curative effect of spinal cord chronic compression.Operative therapy is only one aspect of these factors.We should elevate the cognition of the importance of the pre-operative treatment,and adopt synthetic measure to cut as far as possibly down the complications and recover the member’s functions.更多还原