刘晓伟;许斌;廖心远;杨海松;赵建宁;陈德玉;

• 1:南京军区南京总医院骨科
• 2:上海长征医院脊柱外科

摘要(Abstract)：

[目的]比较颈后路单开门椎管扩大成形术(One-door open Laminoplasty,Lam组)和颈后路椎板切除减压内固定术(lamninectomy with implant fixation,LIF组)术后轴性疼痛发生情况。[方法]回顾性纳入接受Lam(n=74)和LIF术式(n=51)的病例,比较两组病例轴性疼痛发生情况、神经功能改善率(improvement rate of neurological function,IR)及颈部功能障碍指数(neck dysfunction index,NDI)改善率的差异,分析轴性疼痛对神经功能、颈部功能障碍的影响。[结果]Lam组病例的轴性疼痛发生率、疼痛视觉模拟评分(visual analogue scale,VAS)和疼痛完全缓解所需时间均明显低于LIF组病例(P<0.05)。两组病例术前神经功能和NDI均无明显差别(P>0.05),分别随访29.4个月和33.1个月后(P>0.05),两组病例IR无明显差别(P>0.05),LIF组NDI改善率显著低于Lam组(P<0.05)。相关性分析提示轴性疼痛的发生与否和IR、NDI改善率均无明显相关性(P>0.05)。[结论]接受Lam术式的病例轴性疼痛发生率、疼痛评分和完全缓解所需时间均明显低于接受LIF术式的病例,且颈部功能障碍恢复情况优于后者。

关键词(KeyWords)： 颈后路单开门椎管扩大成形术;颈后路椎板切除减压内固定术;轴性疼痛

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 刘晓伟;许斌;廖心远;杨海松;赵建宁;陈德玉;

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DOI:

参考文献(References)：

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