doi:10．11659/jjssx．08E022047·临床研究·颈椎体前移与颈后路全椎板切除减压术治疗颈脊髓损伤的疗效对比郭延皖1，徐志刚1，顾继生1，石长贵2，邱水强1(1．上海市虹口区江湾医院骨科，上海200434;2．上海长征医院骨科，上海200434)［摘要］目的比较颈椎体前移与颈后路全椎板切除减压术治疗颈脊髓损伤的临床疗效。方法纳入颈椎外伤伴颈脊髓损伤的患者62例，按手术方式分为颈椎体前移减压术(ACAF)组(30例)和颈后路全椎板切除减压术(PCLD)组(32例)。比较2组患者术中出血量、手术时间、术后引流量、住院时间减压节段数及并发症差异。采用美国脊椎损伤学会(ASIA)评分评价2组患者术前及术后2周、2年的脊髓神经功能情况。结果ACAF组术后出现椎管内血肿1例，PCLD组出现术后感染2例和脑脊液漏2例，经对症处理后均顺利出院。PCLD组患者术中出血量、术后引流量和住院时间均大/长于ACAF组(P＜0．05);2组患者减压节段数、手术时间比较，差异无统计学意义(P＞0．05)。2组患者术前ASIA评分比较差异无统计学意义(P＞0．05)，2组患者术后2年脊髓神经功能较术前及术后2周均明显恢复(P＜0．05)，但组间比较差异无统计学意义(P＞0．05)。结论ACAF和PCLD均可有效治疗颈脊髓损伤，但在控制术中出血量、术后引流量、住院时间方面，ACAF更优。［关键词］颈椎;脊髓损伤;手术;神经功能［中图分类号］Ｒ687．3［文献标识码］A［收稿日期］2022-08-09［通信作者］邱水强，E-mail:fmspine@163．comComparisonoftheoutcomesofanteriorcontrollableantedisplacementandfusionandposteriorcervicallaminec-tomydecompressionandfusioninthetreatmentofcervicalspinalcordinjuryGUOYan-wan1，XUZhi-gang1，GUJi-sheng1，SHIChang-gui2，QIUShui-qiang1(1．DepartmentofOrthopedics，JiangwanHospitalofHongkouDistrictinShanghai，Shanghai200434，China;2．DepartmentofOrthopedics，ShanghaiChangzhengHospital，Shanghai200434，China)Abstract:ObjectiveTocomparetheclinicaloutcomesofanteriorcontrollableantedisplacementandfusionandposteriorcervicallami-nectomydecompressionandfusionforcervicalspinalcordinjury．MethodsAtotalof62patientswithcervicalspinetraumaandcervicalspinalcordinjurywereincludedanddividedintotheanteriorcontrollableantedisplacementandfusion(ACAF)group(30cases)andposteriorcervicallaminectomydecompressionandfusion(PCLD)group(32...
