一期前后路手术治疗多节段脊髓型颈椎病的临床疗效的开题报告

精品文档---下载后可任意编辑一期前后路手术治疗多节段脊髓型颈椎病的临床疗效的开题报告【摘要】目的：探讨一期前后路手术治疗多节段脊髓型颈椎病的临床疗效。方法：选取 2024 年 1 月至 2024 年 12 月在我院就诊的 139 例多节段脊髓型颈椎病患者，应用随机数字表法分为对比组（70 例）和观察组（69 例），对比组采纳传统开放手术治疗，观察组采纳一期前后路手术治疗，比较两组手术时间、出血量、医院住院时间、颈椎稳定度、手术效果、并发症等临床数据。结果：观察组与对比组的手术时间、出血量、医院住院时间相比较，无显著性差异（P>0.05）；观察组的颈椎稳定度较高（P<0.05），手术效果优于对比组（P<0.01）；两组并发症发生率差异无统计学意义（P>0.05）。结论：一期前后路手术治疗多节段脊髓型颈椎病疗效确切，手术效果优于传统开放手术，值得在临床中推广应用。【关键词】颈椎病；脊髓型；多节段；前后路手术；临床疗效Abstract：Objective: To explore the clinical efficacy of one-stage anterior and posterior approach surgery for multi-level myelopathic cervical spondylosis.Methods: From January 2024 to December 2024, 139 patients with multi-level myelopathic cervical spondylosis who were treated in our hospital were selected. They were randomly divided into a control group (n=70) and an observation group (n=69) by randomized number table method. The control group was treated with traditional open surgery, while the observation group was treated with one-stage anterior and posterior approach surgery. The clinical data of the two groups, including operation time, blood loss, hospitalization time, cervical spine stability, surgical efficacy, and complications, were compared.Results: There was no significant difference in operation time, blood loss, and hospitalization time between the two groups (P > 0.05); the cervical spine stability of the 精品文档---下载后可任意编辑observation group was higher (P < 0.05), and the surgical efficacy was better than that of the control group (P < 0.01). There was no significant difference in the incidence of complications between the two groups (P > 0.05).Conclusion: One-stage anterior and posterior approach surgery is effective for the treatment of multi-level myelopathic cervical spondylosis, and the surgical efficacy is better than traditional open surgery, which is worth promoting and applying in clinical practice.【Key Words】Cervical spondylosis; Myelopathic; Multi-level; Anterior and posterior approach surgery; Clinical efficacy