一期前后路手术治疗多节段脊髓型颈椎病的临床疗效的开题报告.docx

一期前后路手术治疗多节段脊髓型颈椎病的临床疗效的开题报告

【摘要】

目的：探讨一期前后路手术治疗多节段脊髓型颈椎病的临床疗效。

方法：选取2015年1月至2019年12月在我院就诊的139例多节段脊髓型颈椎病患者，应用随机数字表法分为对照组（70例）和观察组（69例），对照组采用传统开放手术治疗，观察组采用一期前后路手术治疗，比较两组手术时间、出血量、医院住院时间、颈椎稳定度、手术效果、并发症等临床数据。

结果：观察组与对照组的手术时间、出血量、医院住院时间相比较，无显著性差异（P0.05）；观察组的颈椎稳定度较高（P0.05），手术效果优于对照组（P0.01）；两组并发症发生率差异无统计学意义（P0.05）。

结论：一期前后路手术治疗多节段脊髓型颈椎病疗效确切，手术效果优于传统开放手术，值得在临床中推广应用。

【关键词】颈椎病；脊髓型；多节段；前后路手术；临床疗效

Abstract：

Objective:Toexploretheclinicalefficacyofone-stageanteriorandposteriorapproachsurgeryformulti-levelmyelopathiccervicalspondylosis.

Methods:FromJanuary2015toDecember2019,139patientswithmulti-levelmyelopathiccervicalspondylosiswhoweretreatedinourhospitalwereselected.Theywererandomlydividedintoacontrolgroup(n=70)andanobservationgroup(n=69)byrandomizednumbertablemethod.Thecontrolgroupwastreatedwithtraditionalopensurgery,whiletheobservationgroupwastreatedwithone-stageanteriorandposteriorapproachsurgery.Theclinicaldataofthetwogroups,includingoperationtime,bloodloss,hospitalizationtime,cervicalspinestability,surgicalefficacy,andcomplications,werecompared.

Results:Therewasnosignificantdifferenceinoperationtime,bloodloss,andhospitalizationtimebetweenthetwogroups(P0.05);thecervicalspinestabilityoftheobservationgroupwashigher(P0.05),andthesurgicalefficacywasbetterthanthatofthecontrolgroup(P0.01).Therewasnosignificantdifferenceintheincidenceofcomplicationsbetweenthetwogroups(P0.05).

Conclusion:One-stageanteriorandposteriorapproachsurgeryiseffectiveforthetreatmentofmulti-levelmyelopathiccervicalspondylosis,andthesurgicalefficacyisbetterthantraditionalopensurgery,whichisworthpromotingandapplyinginclinicalpractice.

【KeyWords】Cervicalspondylosis;Myelopathic;Multi-level;Anteriorandposteriorapproachsurgery;Clinicalefficacy