摘要
目的探讨颈椎后路经皮脊柱内镜椎间盘髓核切除术(PPECD)治疗神经根型颈椎病(CSR)的临床疗效和应用价值。方法选取2017年2月至2018年8月佛山市三水区人民医院收治的CSR患者78例。按手术方法分为对照组38例和观察组40例,对照组采用颈前路减压椎间植骨融合内固定术(ACDF)治疗,观察组采用PPECD治疗。比较两组颈椎功能障碍指数(NDI)评分和住院指标。结果2组NDI评分均呈降低趋势,观察组NDI评分降低较快,组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05)。观察组下床时间、住院时间、住院费用明显短于或少于对照组,差异有统计学意义(P<0.05)。结论CSR患者实施PPECD能够取得与ACDF一样的治疗效果,PPECD恢复更快,医疗成本更低,具有一定价值。
Objective To investigate the clinical efficacy and application value of posterior percutaneous endoscopic discectomy(PPECD)in the treatment of cervical spondylotic radiculopathy(CSR).Methods A total of 78 patients with CSR in our hospital from February 2017 to August 2018 were selected.According to the operation methods,they were divided into control group(ACDF,38 cases)and observation group(PPECD,40 cases).The therapeutic effects of the two groups were compared.Results The NDI score of the observation group 3 months after operation was significantly lower than that of the control group.The difference was statistically significant(P<0.05).There was no significant difference in NDI score between the two groups before and 1 year after operation(P>0.05).Compared with the control group,the observation group had shorter time of getting out of bed,shorter length of stay and lower cost of hospitalization.There were statistically significant differences(P<0.05).Conclusion The implementation of PPECD in the treatment of CSR patients can achieve the same treatment effects as ACDF.And patients with PPECD can recover much more quickly with lower medical cost.Therefore,it has certain value.
作者
王诗成
WANG Shi-cheng(Foshan Sanshui District People's Hospital,Foshan 528100,China)
出处
《中国误诊学杂志》
CAS
2019年第12期547-548,共2页
Chinese Journal of Misdiagnostics
关键词
颈椎病
脊柱内镜
椎间盘髓核切除
cervical spondylosis
spinal endoscopy
nucleus pulposus resection
