|本期目录/Table of Contents|

[1]杨明坤,张旭,刘川,等.改良椎管扩大成形术术后发生轴性症状的危险因素分析[J].国际骨科学杂志,2020,05:318-322.
　YANG Mingkun,ZHANG Xu,LIU Chuan,et al.Risk factors of axial pain after modified open-door laminoplasty for cervical spondylotic myelopathy[J].International Journal of Orthopaedics,2020,05:318-322.
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改良椎管扩大成形术术后发生轴性症状的危险因素分析(PDF)

《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:
2020年05期
页码:
318-322
栏目:
临床研究
出版日期:
2020-10-20

文章信息/Info

Title:
Risk factors of axial pain after modified open-door laminoplasty for cervical spondylotic myelopathy
作者:
杨明坤; 张旭; 刘川; 吴继生; 鲜光波
630057, 巴中市中心医院骨科中心
Author(s):
YANG Mingkun;  ZHANG Xu;  LIU Chuan;  WU Jisheng;  XIAN Guangbo.
Department of Orthopaedic Center,Central Hospital of Bazhong City, Bazhong 630057,China
关键词:
单开门椎管扩大成形术;  轴性症状;  危险因素;  脊髓形颈椎病
Keywords:
Open-door laminoplasty;  Axial pain;  Risk factors;  Cervical spondylotic myelopathy
分类号:
-
DOI:
10.3969/j.issn.1673-7083.2020.05.014
文献标识码:
A
摘要:
目的 探讨改良颈椎单开门椎管扩大成形术治疗脊髓型颈椎病术后发生轴性症状的危险因素。方法 回顾性分析2017年6月至2019年2月在巴中市中心医院行颈椎椎管扩大成形术患者的临床资料。共计47例,其中男15例,女32例,年龄(52.6±18.3)岁(46～72岁)。根据术后3个月是否发生轴性症状,将患者分为无轴性症状组(33例)和轴性症状组(14例)。分别对患者性别、年龄、术前颈肩痛、病程是否大于36个月、合并内科疾病、术中出血量大于100 mL、手术时间超过90 min、日本骨科协会(JOA)评分、颈椎功能障碍指数、颈椎曲度、JOA改善率等指标进行单因素分析,根据单因素分析结果进一步进行多元Logistic回顾分析。结果 14例患者出现术后轴性症状,轴性症状发生率为29.8%。两组患者术后神经症状均较术前明显改善,两组改善率无统计学差异(P=0.268)。单因素分析显示年龄、性别、术前颈肩痛、病程超过36个月、高血压病、术中出血量大于100 mL、手术时间超过90 min、术前颈椎曲度、术后颈椎曲度与术后轴性症状的发生可能相关(P<0.1)。多因素分析显示术前颈肩痛、高血压病、术中出血量大于100 mL、手术时长超过90 min、颈椎曲度丢失度与术后出现轴性症状相关。结论 术前颈肩痛、高血压病、术中出血量大于100 mL、手术时间超过90 min、颈椎曲度丢失度是改良颈椎单开门椎管扩大成形术术后发生轴性症状的危险因素,围手术期应给予关注和控制。
Abstract:
Objective To investigate the risk factors of axial pain after modified open-door laminoplasty for cervical spondylotic myelopathy.Methods The clinical data of 47 patients(15 males and 32 females, aged 46-72 years(52.6±18.3 years))who underwent cervic

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备注/Memo

备注/Memo:
通信作者: 张旭 zhangxu6153@163.com
更新日期/Last Update: 2020-10-20