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颈椎病脊髓病的手术治疗:安全措施及与预后相关的术前因素

Surgery for myelopathy in cervical spondylosis: safety measures and preoperative factors related to outcome.

作者信息

Magnaes B, Hauge T

出版信息

Spine (Phila Pa 1976). 1980 May-Jun;5(3):211-4. doi: 10.1097/00007632-198005000-00002.

DOI:10.1097/00007632-198005000-00002
PMID:7394659
Abstract

In 85 patients with myelopathy and cervical spondylosis, Queckenstedt's test was used as a guide in deciding upon laminectomy under local anesthesia or anterior surgery under general anesthesia. Laminectomy was carried out in patients with marked block phenomena. The operations were laminectomy (51), anterior surgery (24), and laminectomy plus anterior surgery (10). None of the patients was made worse as a result of the surgical procedure. Improvement in the legs occurred in 73 patients. Block phenomena and arm symptoms were preoperative factors related to improvement in the legs after surgery. Improvement in the arms occurred in 63 of 73 patients who had such symptoms.

摘要

在85例患有脊髓病和颈椎病的患者中,奎肯施泰特试验被用作决定在局部麻醉下进行椎板切除术或在全身麻醉下进行前路手术的指导。对有明显梗阻现象的患者进行了椎板切除术。手术方式为椎板切除术(51例)、前路手术(24例)以及椎板切除术加前路手术(10例)。没有患者因手术过程而病情恶化。73例患者的腿部症状得到改善。梗阻现象和手臂症状是与术后腿部改善相关的术前因素。73例有手臂症状的患者中有63例手臂症状得到改善。

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