| 汪敏,高晓平,吴毅文.脊髓型颈椎病患者非手术治疗的远期疗效观察[J].安徽医药,2018,22(4):642-645. |
| 脊髓型颈椎病患者非手术治疗的远期疗效观察 |
| The observation of the long-tern curative effect on non-operative treatment of cervical spondylotic myelopathe |
| 投稿时间：2016-06-19 |
| DOI： |
| 中文关键词: 脊髓型颈椎病 非手术治疗 远期疗效 随访 |
| 英文关键词: cervical spondylotic myelopathy non-operative treatment the long-term curative effect followed up |
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| 中文摘要: |
| 目的 观察非手术治疗脊髓型颈椎病患者的远期疗效。方法 选取2012年8月—2014年6月该院康复医学科收治的 100例住院行综合康复治疗的脊髓型颈椎病患者及56例吴毅文教授门诊推拿治疗的脊髓型颈椎病患者, 在治疗前后分别进行JOA评分、疼痛视觉模拟评分(VAS),并于1年后对上述患者进行疗效随访观察及部分患者复查磁共振(MRI)的前后对比。结果 156例患者治疗后,颈脊髓功能、疼痛症状均较治疗前有明显改善(P＜0.01)；脊髓型颈椎病患者非手术治疗效果与患者的年龄(r=-0.305,P＜0.01)、颈椎间盘突出程度(r=-0.292,P＜0.01)、黄韧带增厚(r=-0.161,P＜0.05)存在负相关关系；1年后对患者进行随访,结果显示非手术治疗的远期优良率为70.0%,颈椎MRI结果前后对比提示椎间盘突出所致的脊髓受压患者疗效较为明显。结论 非手术治疗脊髓型颈椎病的远期疗效较为满意。 |
| 英文摘要: |
| Objective To observe the long-term curative effect on patients with Cervical Spondylotic Myelopathy who had accepted non-operative treatment. Methods In our study,100 inpatients and 56 outpatients were observed,who were treated in the first affiliated hospital of AnHui Medical University between August 2012 to June 2014.The assessment including JOA,VAS was completed before the treatment firstly,and then the assessment was carried out again after ending treatment.And the patients with CSM were followed up in one year. Results After treatment,the JOA and VAS were improved significantly(P＜0.01),the curative effects of non-operation treatment on CSM was negatively related to the age of patients(r=-0.305,P＜0.01),the degree of intervertebral disk herniation(r=-0.292,P＜0.01),and the thickening of ligament flava(r=-0.161,P<0.05).When we followed up one year later,the results showed the long-term excellent rate of non-operative treatment was 70.0%.The results of comparing cervical MRI showed the effect was more obvious,whose cervical spinal cord compression caused by disc herniation. Conclusions The long-term curative effect of non-operative treatment of cervical spondylotic myelopathy is satisfactory. |
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