Objective To explore the efficacy of using anterior cervical surgery for the treatment of elderly cervical vertigo. Methods Thirty—eight elderly patients with cervical vertigo were managed from January 2006 to June 2011 .and were divided into two groups. Operation groups (OG);Including 20 patients, whose age were 61 ～78 1,average;69.7±4.97 ＞, were treated by anterior route cervical discectomy and internal fixation. Control groups (CG):including 18 patients, whose age were 61～76 (average:69.1 ±4.35),were treated by conservation treatment. Results All patients were followed up for 12—36 months. According to Symptom and Function Score for cervical vertigo, he OG s scores prcthcrapy were 13.75±3.34,3 months after tbcrpy were 24.80±1.74,6 months after therapy were 24.70±1.42.the last rechecking were 25,70±l.26 and the CG s scores pretherapy were 13.94±3.56,3 months after therpy were 19.17 ±3.22,6 months after therapy were 19.50±3.78, the last rechecking were 19.11±3,58, The differences between both groups were statistically significant (P＜0.01).Conclusion Anterior cervical surgery can renew cervical stabilization. It Is better than canscrvativc treatment elderly cervical vertigo patient.%目的 观察颈前路手术治疗老年颈性眩晕的临床效果.方法 2006-01-2011-06 采用不同方法治疗38 名老年颈性眩晕患者,手术组:共20 例,年龄61~78 岁,平均69.7±4.97 岁,全部采用颈前路手术治疗;对照组:共18 例,年龄61~76 岁,平均69.1±4.35 岁,全部采用保守治疗.结果 38例患者均获随访,随访时间12～36 个月,采用颈性眩晕症状与功能评分法进行评分,手术组:治疗前为13.75±3.34,治疗后3 月、6 月及最后一次随访分别为24.80±1.74、24.70±1.42、25.70±1.26;对照组:治疗前为13.94±3.56,治疗后3 月、6月、最后一次随访分别为19.17±3.22、19.50±3.78、19.11±3.58,对两组数据采用SPSS 13.0 进行分析,两组治疗效果有统计学差异,手术组优于对照组.结论 颈前路手术可以较好重建颈椎稳定性,在老年颈性眩晕治疗中较保守方法治疗效果好.
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