局解手术学杂志2017，Vol.26Issue(2)：114-118,5.DOI:10.11659/jjssx.10E016070
颈椎减压术后C5神经根麻痹症状恢复时间的影响因素
Influence factor of Cs palsy after cervical decompression surgery
谢雁春 1轩安武 1李卓 1于海龙1
作者信息
- 1. 沈阳军区总医院骨科脊柱病区,辽宁沈阳110016
- 折叠
摘要
Abstract
Objective To evaluate the clinical and radiological factors which affecting the recovery duration of C5 palsy after cervical decompression surgery.Methods The datas of 710 patients with degenerative cervical spine surgery in departement of spine surgery of orthopaedics of general hospital of Shenyang military region were retrospectively analyzed.The demographics,radiology,clinical information were recorded to analyze the relationship with the recovery duration of postoperative C5 palsy.Results C5 nerve root palsy occurred in 36 cases,of which 33 cases completely recovered within 2 years after surgery(18 cases recovered within postoperative 6 months),3 cases did not completely recovered during the following period.Factors related to longer recovery(over 6 months) included postoperative limbs muscles strength ≤2(P＜0.01),presence of multi-segment paresis involving more than the C5 root(P =0.002),loss of somatic sensation with pain(P =0.008),and the degree of posterior spinal cord shifting (P =0.040).Furthermore,multivariate analysis revealed that postoperative limbs muscles strength ≤2(P =0.010) had a significant effect on a recovery duration beyond 6 months.Conclusion The postoperative limbs muscles strength ≤2,the presence of multi-segment paresis involving more than the C5 root,the loss of somatic sensation with pain,and the degree of posterior spinal cord shifting are main factors which significantly influence the duration of recovery from postoperative C5 nerve root palsy.关键词
颈椎退变/颈椎减压术后/C5神经根麻痹/恢复/影响因素Key words
cervical degeneration/cervical decompression surgery/C5 nerve root palsy/recovery/infuence factor分类
医药卫生引用本文复制引用
谢雁春,轩安武,李卓,于海龙..颈椎减压术后C5神经根麻痹症状恢复时间的影响因素[J].局解手术学杂志,2017,26(2):114-118,5.
