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題名 | 十年治療頸椎退化性關節病變之臨床研究(2)--頸脊髓病變 |
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作者姓名(中文) | 熊海明; 李良雄; 黃俊一; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 19:1 1986.03[民75.03] |
頁次 | 頁58-68 |
分類號 | 416.292 |
關鍵詞 | 頸椎退化性關節病變; 頸脊髓病變; |
語文 | 中文(Chinese) |
中文摘要 | 榮民總醫院神經外科自民國64年至73年,10年中共手術治療頸椎退化性關節病變267例,其中單純神經根病變82例,單純脊髓病變或併有神經根病變185例,本文討論單純脊髓病變或併有神經根為變185例。 185例之手術治療,採前位手術者48例,採後位手術者141例,(其中4例實施兩次手術)。 前位及後位手術之適用狀況雖有不同,但不論採用前位或後位手術,大約70%的病人會有明顯之症狀改善。後位手術中,以行廣泛性椎板切除術(extensive laminectomy)加上神經孔切開術(foramenotomy)及骨刺、椎問盤切除效果最佳,齒狀靭帶(dentate ligament)之切除與否,及是否行硬脊膜殖補術(dural graft),其結果均無統計上之差異。 |
英文摘要 | From 1975 to 1984, 267 patients of cervical spondylosis underwent surgical treatment at the Veterans General Hospital. Of these patients, 185 presented with symptoms/signs of myelopathy with or without radiculopathy. The remaining 82 had radiculopahy only. This retrospective study details the results of surgical treatment of cervical myelopathy. Excellent or good results were obtained in 97 (68.8%) of the 141 patients who underwent posterior approach, and 34 (70.8%) of the 48 patients with anterior approach. The results of surgery with either posterior or anterior approach showed no statistical difference. With regard to the different techniques and procedures in posterior approach, the patients who were treated by extensive laminectomy, foramenotomy, and removal of osteophytes achieved best results, with 85% of the cases showing improvement. Laminectomy with and without dentate section, and with and without dural graft showed neither additional benefit nor risk of deterioration. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。