临床骨科杂志2018，Vol.21Issue(1)：11-13,16,4.DOI:10.3969/j.issn.1008-0287.2018.01.004
超声骨刀与咬骨钳在颈椎后路单开门术中应用效果比较
Comparison the application effect of piezosurgery and rongeur in posterior cervical expansive open-door laminoplasty
周兴华 1杨敏 2李涛 1朱利 1王博 1崔彦彬1
作者信息
- 1. 保定市第一中心医院骨二科,河北 保定071000
- 2. 保定市第一中心医院综合内科,河北 保定071000
- 折叠
摘要
Abstract
Objective To compare the efficacy and safety of posterior cervical expansive open-door laminoplasty by using piezosurgery versus rongeur. Methods Eighty-nine patients with cervical spondylotic myelopathy underwent posterior cervical expansive open-door laminoplasty by either using piezosurgery (n=32,the piezosurgery group) or rongeur(n=57,the rongeur group). The clinical data were collected and analyzed retrospectively. The posterior cer-vical open-door time,blood loss during the process of open-door,average per minute blood loss during the process of open-door,postoperative drainage, JOA scores, improvement rate of the JOA scores and incidence of complications were compared between piezosurgery group and rongeur group. Results The open-door time and blood loss during the process of open-door,both showed piezosurgery group was less than those of rongeur group(P<0.05). Postoper-ative drainage of piezosurgery group was less than that of rongeur group (P<0.05). Average per minute blood loss during the process of open-door were similar between the two groups,which had no statistical significance(P>0.05). The postoperative neurological function of both groups were significantly improved, JOA scores of 1 week postopera-tion was superior to preoperative ones(P<0.05),but there were no statistical differences of postoperative JOA scores after a week,as well as JOA scoring improvement rate between two groups(P>0.05). No patients suffered from dural tear leakage of cerebrospinal fluid or wound infection in both groups.Conclusions When compared with rongeur,us-age of piezosurgery can obtain similar safety and effect during posterior cervical expansive open-door laminoplasty, which is relatively more efficient with less postoperative drainage.关键词
颈椎病/椎管扩大成形术/超声骨刀/咬骨钳Key words
cervical spondylosis/laminoplasty/piezosurgery/rongeur分类
医药卫生引用本文复制引用
周兴华,杨敏,李涛,朱利,王博,崔彦彬..超声骨刀与咬骨钳在颈椎后路单开门术中应用效果比较[J].临床骨科杂志,2018,21(1):11-13,16,4.
