摘要 为探讨影响脊髓型颈椎病前路手术疗效的因素，本文对1986年5月～1994年2月间的152例
脊髓型颈椎病人前路手术后的疗效及常见影响因素作一分析。结果发现，病程、年龄及病情与疗
效有关，手术范围及方式与疗效无关。建议脊髓型颈椎病确诊后应尽快手术治疗，合适的手术方
式及减压范围均可取得满意疗效。
关键词 脊髓型颈椎病；前路手术；影响因素
analysis of Effect and Influencing Factors of anterior Decompression for
Cervical Spondylotic Myelopathy
Xu Jianguang，Chen Guorui.Department of Orthopaedics，Shanghai the Sixth Peoples
Hospital，Shanghai，200233.
abstract To explore the curative effect and influencing factors of anterior
decompression for cervical spondylotic myelopathy，the effects and common
influencing factors of 152 patients with cervical spondylotic myelopathy treated by
anterior decompression from May of 1986 to February of 1994 were analyzed.The result
showed that the factors including cause of disease，patient age and the condition
had much to do with the effect，but operative scope and method had no relation with
the effect.We suggested that operation was performed as soon as possible when
cervical spondylotic myelopathy was diagnosed.The satisfactory result was achieved
by proper operative way and decompression scope.
Key words Cervical spondylotic myelopathy；anterior decompression；Influencing
factors
脊髓型颈椎病是慢性压迫性颈脊髓病最常见的原因，五十年代末Cloward及Robinson首先开
展颈前路手术，取得了较为满意疗效，并相继出现多种颈前路手术。为进一步总结提高脊髓型颈
椎病前路手术疗效，我们对1986年5月～1994年2月的152例颈前路手术病人的疗效及常见影响因
素作回顾性分析，现报告如下。
1 临床资料
1.1 一般资料 本组152例，男102例，女50例。年龄最大者65岁，最小者35岁，平均51.6岁；
病程最长者168个月，最短者10天(因头颈部外伤后出现四肢瘫)，平均33.4个月。病变累及2个节
段者48例，3个节段者80例，4个节段者24例；手术范围2个椎节者43例，3个椎节者87例，4个椎
节者22例。根据北医三院的“40分法”［1］，本组属Ⅰ级者23例，Ⅱ级者75例，Ⅲ级者50例，Ⅳ
级者4例。
1.2 手术方式 颈前路椎间盘切除术
