脊髓型颈椎病患者术后四肢及肛门括约肌神经功能恢复研究(1)
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[摘要] 目的 探讨脊髓型颈椎病手术减压后四肢及肛门括约肌神经功能的恢复情况。 方法 回顾性研究2000年6月～2010年6月40例患脊髓型颈椎病并实施椎管减压手术的患者，通过JOA(Japanese Orthopedic Association)评分评估患者术前及术后1周、1个月、3个月、6个月、12个月、24个月、36个月、48个月、60个月的上下肢及肛门括约肌的神经功能恢复情况。 结果 术后29例患者总体神经功能得到改善，平均恢复率为73%，神经改善情况在术后3个月差异有统计学意义，术后6个月达到平台期。其中27例患者上肢功能改善，恢复率为35%，20例患者下肢功能改善，恢复率为20%，11例患者肛门括约肌功能改善，恢复率为18%。 结论 脊髓型颈椎病患者行手术减压术后73%的患者神经功能得到改善。其中，上肢功能恢复最好，其次是下肢功能和肛门括约肌功能。
[关键词] 脊髓型颈椎病；术后；肛门括约肌；神经恢复
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673—9701(2012)25—0042—03
Study of the neurological recovery of the limbs and the anal sphincter after the operation in patients with cervical spondylotic myelopathy
CHEN Fanghu RAN Bo ZHENG Wenbiao GUAN Junhui LIAO Fei
Second Department of Orthopedics， Taizhou Municipal Hospital in Zhejiang Province， Taizhou 318000， China
[Abstract] Objecive To study on the pattern of neurological recovery after surgical decompression on patients with cervical spondylotic myelopathy. Methods Patients suffering from cervical spondylotic myelopathy and requiring surgical decompression from June 2006 to June 2010 were prospectively included. Upper limbs， lower limbs and sphincter functions were assessed using the JOA score. Assessment was done before the operation and after surgery in one week， one month， three months， six months， twelve months， twenty—four months， thirty—six months， forty—eight months， sixty months. Results were analyzed with the t—test. Results Twenty—nine patients had neurological improvement after the operation with a mean recovery rate of 73% ......
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