摘要
目的探究微创小切口零切迹颈前路椎间融合器治疗单节段脊髓型颈椎病的临床价值。方法 80例单节段脊髓型颈椎病患者作为研究对象,均采用微创小切口零切迹颈前路椎间融合器治疗,观察手术效果,对比手术前后的视觉模拟评分法(VAS)评分、日本骨科协会(JOA)评分、椎间隙高度以及Cobb角变化。结果患者手术平均时长(53.26±10.21)min,平均术中出血量(35.14±10.32)ml,平均住院时间(5.6±1.6)d;术后并发生症总发生率为7.50%。术后1周、末次随访时的VAS、JOA评分与术前对比差异均具有统计学意义(P<0.05);末次随访时的VAS、JOA评分与术后1周对比差异均具有统计学意义(P<0.05)。术后1周、末次随访时的椎间隙高度、Cobb角与术前对比差异均具有统计学意义(P<0.05);末次随访时的椎间隙高度、Cobb角与术后1周对比差异均无统计学意义(P>0.05)。结论微创小切口零切迹颈前路椎间融合器治疗单节段脊髓型颈椎病疗效显著,具有推广价值。
Objective To investigate the clinical value of minimally invasive small incision and zeroincisura cervical anterior interbody fusion for the treatment of single-segment cervical spondylotic myelopathy. Methods A total of 80 patients with single-segment cervical spondylotic myelopathy as study subjects were all treated with minimally invasive small incision and zero-incisura cervical anterior interbody fusion, and their surgical effect was observed. Comparison were made on visual analogue scale（VAS）, Japanese Orthopedic Association（JOA） score, intervertebral height and Cobb angle changes between the two groups. Results Patients had average operation time as（53.26±10.21） min, average intraoperative bleeding volume as（35.14±10.32） ml, mean hospitalization time as（5.6±1.6） d, and incidence of total postoperative complications as 7.50%. There was statistically significant difference in VAS and JOA score in postoperative 1 week and last follow-up, comparing with before operation（P〈0.05）. There was statistically significant difference in VAS and JOA score at last follow-up, comparing with postoperative 1 week（P〈0.05）. There was statistically significant difference in intervertebral height and Cobb angle in postoperative 1 week and last follow-up, comparing with before operation（P〈0.05）. There was no statistically significant difference in intervertebral height and Cobb angle at last followup, comparing with postoperative 1 week（P〈0.05）. Conclusion Minimally invasive small incision and zeroincisura cervical anterior interbody fusion shows remarkable efficacy for the treatment of single-segment cervical spondylotic myelopathy, and it contains promotion value.
作者
陈光福
王敏
陈志锐
CHEN Guang-fu;WANG Min;CHEN Zhi-rui(Department of Spine Surgery, Foshan Chancheng Central Hospital Affiliated to Guangdong Medical University, Foshan 528031, China)
出处
《中国实用医药》
2018年第12期24-25,共2页
China Practical Medicine
关键词
微创
小切口
零切迹颈前路椎间融合器
单节段
脊髓型颈椎病
Minimally invasive
Small incision
Zero-incisura cervical anterior interbody fusion
Singlesegment
Cervical spondylotic myelopathy
