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颈椎关节病所致脊髓病的手术长期疗效。35例(作者译)

[Long-term outcome of surgery for myelopathy due to cervical arthrosis. 35 cases (author's transl)].

作者信息

Tsouderos Y, Guiot G

出版信息

Nouv Presse Med. 1981 Jan 10;10(1):25-8.

PMID:7465339
Abstract

The authors report on 57 patients operated upon for myelopathy secondary to cervical arthrosis, 56 of whom underwent posterior laminectomy. The clinical symptoms were those reported in the literature for such cases. During the first post-operative year 66% of the patients improved, 5% became worse and 28% remained unchanged. Among 35 patients seen more than 5 years after the operation (mean: 8.5 years), improvement was observed in 75%, deterioration in 17% and no change in 8%. The significant difference (p < 0.02) between short-term and long-term results suggests that the disease continues to evolve, one way or the other, long after surgery. Altogether, changes occurred in 31% of the patients.

摘要

作者报告了57例因颈椎关节病继发脊髓病而接受手术的患者,其中56例接受了后路椎板切除术。临床症状与文献中此类病例的报道一致。术后第一年,66%的患者病情改善,5%的患者病情恶化,28%的患者病情无变化。在术后5年以上(平均8.5年)接受随访的35例患者中,75%的患者病情改善,17%的患者病情恶化,8%的患者病情无变化。短期和长期结果之间的显著差异(p<0.02)表明,即使在手术后很长时间,疾病仍会以某种方式持续发展。总共有31%的患者出现了病情变化。

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