[1]肖祥 麦烙棋 杨仁轩△.过屈位K线与单开门椎管成形术治疗颈椎后纵韧带骨化症疗效的关系[J].中国中医骨伤科杂志,2018,26(08):43-46，51.
　XIAO Xiang MAI Luoqi Yang Renxuan.The Relationship between the K-line in the Neck-flexed Position and the Effect of Unilateral Open-door Laminoplasty for Ossification of the Posterior Longitudinal Ligament[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(08):43-46，51.
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过屈位K线与单开门椎管成形术治疗颈椎后纵韧带骨化症疗效的关系()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年08期
页码:
43-46，51
栏目:
临床论著
出版日期:
2018-08-02

文章信息/Info

Title:
The Relationship between the K-line in the Neck-flexed Position and the Effect of Unilateral Open-door Laminoplasty for Ossification of the Posterior Longitudinal Ligament
文章编号:
1005-0205(2018)08-0043-04
作者:
肖祥1 麦烙棋1 杨仁轩2△
1广州中医药大学(广州,510405) 2广东省中医院珠海医院
Author(s):
XIAO Xiang1 MAI Luoqi2 Yang Renxuan2△
1Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, China; 2Zhuhai Branch of Guangdong Provincial Hospital of Traditional Chinese Medicine,Zhuhai 519015,Guangdong China.
关键词:
后纵韧带骨化症;  颈椎单开门椎管成形术;  过屈位K线
Keywords:
Keywords: ossification of posterior longitudinal ligament;  unilateral open-door laminoplasty;  k-line in the neck-flexed position
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨过屈位K线与单开门椎管成形术治疗颈椎后纵韧带骨化症疗效的关系,为术前选择手术方案提供依据。方法:回顾性分析2012年1月至2016年7月期间29例颈椎后纵韧带骨化症患者。根据骨化物与K线的位置,在颈椎过屈位X片上分为过屈位K线阳性组及过屈位K线阴性组,两组患者均行颈椎单开门椎管成形术治疗。记录两组患者的术前、术后1年的JOA评分及JOA改善率,以评定过屈位K线的临床使用价值。结果:术后1年,两组患者JOA评分均上升,过屈位K线阳性组术后疗效优于过屈位K线阴性组,差异有统计学意义(P<0.05)。术后1年,过屈位K线阳性组JOA改善率高于过屈位K线阴性组,差异有统计学意义(P<0.05)。结论:过屈位K线与单开门椎管成形术治疗颈椎后纵韧带骨化症疗效有关,过屈位K线阳性患者术后疗效优于过屈位K线阴性患者,术前过屈位K线阳性患者可首选单开门椎管成形术。
Abstract:
Abstract Objective:To explore the relationship between the K-line in the neck-flexed position and the effect of unilateral open-door laminoplasty for ossification of posterior longitudinal ligament, and to provide a basis for surgical procedure selection.Methods: From January 2012 to July 2016, 29 patients underwent unilateral open-door laminoplasty suffered from OPLL were reviewed retrospectively.All the patients were classified into K-line positive group and K-line negative group according to the K-line in neck-flexed position.The JOA score and improvement rate of two groups before and 1 year after operation were recorded to evaluate the clinical value of K-line in neck-flexed position.Results: One year after operation,The scores of JOA in the two groups were all increased, and the effect of the K-line positive group was better than that of the K-line negative group.The difference was statistically significant(P<0.05).One year after operation, the improvement rate of JOA score of the K-line positive group was higher than that of the K-line negative group, and the difference was statistically significant(P<0.05).Conclusion: There is a relationship between the K-line in the neck-flexed position and the effect of unilateral open-door laminoplasty for ossification of posterior longitudinal ligament.The effect of the patients with K-line positive is better than that of the K-line negative and unilateral open-door laminoplasty is recommended for K-line positive patients.

参考文献/References:

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备注/Memo

备注/Memo:
△通信作者 E-mail:yrxtcm@126.com 本文第一作者为广州中医药大学2015级研究生
更新日期/Last Update: 2018-08-02